Fort Lauderdale Retirement Home
LBN: 2065 Inc Dba Fort Lauderdale Retirement Home
Fort Lauderdale Retirement Home is an health care organization with primary practice located at 401 Se 12Th Ct , Fort Lauderdale FL 33316-1919. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty.
2065 Inc Dba Fort Lauderdale Retirement Home can be contacted via phone (954) 270-6322, or through Heath, Jackie Henry via phone (954) 270-6322.
Contact Information
Primary practice address
401 Se 12Th Ct
Fort Lauderdale FL 33316-1919
Phone: (954) 270-6322
Fax: (954) 423-1674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | ALF6634 | Florida |
Profile Details
| NPI number | 1568880565 |
|---|---|
| LBN Legal business name | 2065 Inc Dba Fort Lauderdale Retirement Home |
| DBA Doing business as | Fort Lauderdale Retirement Home |
| Authorized official | Heath, Jackie Henry RN,BSN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 7th, 2014 |
| Last updated | Apr 7th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568880565 | NPPES |
| Florida | MEDICAID | 140290100 |
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