Active Seniors Consulting Dba The Eden Inn

LBN: Active Seniors Consulting Dba The Eden Inn
Active Seniors Consulting Dba The Eden Inn is an health care organization with primary practice located at 4064 Sw 51St St , Fort Lauderdale FL 33314-5712. 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. Active Seniors Consulting Dba The Eden Inn can be contacted via phone (954) 581-2240, or through Greene, Sherlyn via phone (954) 347-7495.

Contact Information

Primary practice address
4064 Sw 51St St Fort Lauderdale FL 33314-5712
Phone: (954) 581-2240
Fax: (954) 581-2240
Website:
Map and Directions
Authorized official contact:
Name: Greene, Sherlyn
Phone: (954) 347-7495

Health care specialties

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

Profile Details

NPI number 1104447267
LBN Legal business name Active Seniors Consulting Dba The Eden Inn
DBA Doing business as
Authorized official Greene, Sherlyn
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2020
Last updated Apr 29th, 2020 - about 4 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 1104447267 NPPES
Florida MEDICAID 9545812240
Florida Other NONE

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