Edwinola Retirement Community

LBN: American Senior Living Of Dade City Fl Llc
Edwinola Retirement Community is an health care organization with primary practice located at 14235 Edwinola Way , Dade City FL 33523-3763. 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. American Senior Living Of Dade City Fl Llc can be contacted via phone (352) 567-6500, or through Ford, Dorene M via phone (239) 963-3400.

Contact Information

Primary practice address
14235 Edwinola Way Dade City FL 33523-3763
Phone: (352) 567-6500
Fax: (352) 567-0272
Website:
Map and Directions
Authorized official contact:
Name: Ford, Dorene M
Phone: (239) 963-3400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL7295 Florida

Profile Details

NPI number 1851510598
LBN Legal business name American Senior Living Of Dade City Fl Llc
DBA Doing business as Edwinola Retirement Community
Authorized official Ford, Dorene M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated May 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851510598 NPPES
Florida MEDICAID 140899200
Florida MEDICAID 686252700

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