Sarah House Iv (The)

LBN: 30 Forest Ct, Llc
Sarah House Iv (The) is an health care organization with primary practice located at 30 Forest Ct , Ormond Beach FL 32174-8471. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. 30 Forest Ct, Llc can be contacted via phone (386) 872-7797, or through Sharon, Shoshana via phone (386) 872-7871.

Contact Information

Primary practice address
30 Forest Ct Ormond Beach FL 32174-8471
Phone: (386) 872-7797
Fax: (877) 473-1219
Website:
Map and Directions
Authorized official contact:
Name: Sharon, Shoshana
Phone: (386) 872-7871

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12649 Florida

Profile Details

NPI number 1336536754
LBN Legal business name 30 Forest Ct, Llc
DBA Doing business as Sarah House Iv (The)
Authorized official Sharon, Shoshana
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2015
Last updated Jun 10th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336536754 NPPES
Florida Other AL12649 AHCA LICENSE

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