Brookdale Eau Gallie

LBN: Ahc Southland-Melbourne, Llc
Brookdale Eau Gallie is an health care organization with primary practice located at 2680 Croton Rd , Melbourne FL 32935-3576. 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. Ahc Southland-Melbourne, Llc can be contacted via phone (321) 255-5443, or through Richardson, Bryan D via phone (615) 221-2250.

Contact Information

Primary practice address
2680 Croton Rd Melbourne FL 32935-3576
Phone: (321) 255-5443
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan D
Phone: (615) 221-2250

Health care specialties

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

Profile Details

NPI number 1154487825
LBN Legal business name Ahc Southland-Melbourne, Llc
DBA Doing business as Brookdale Eau Gallie
Authorized official Richardson, Bryan D
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 28th, 2006
Last updated May 3rd, 2016 - about 8 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 1154487825 NPPES
Florida MEDICAID 690889600

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