Angel Guardian Assisted Living
LBN: Angel Guardian Assisted Living
Angel Guardian Assisted Living is an health care organization with primary practice located at 280 Bahama Dr , Merritt Island FL 32952-3605. 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.
Angel Guardian Assisted Living can be contacted via phone (321) 848-0255, or through Simone, Roseann J via phone (321) 223-8371.
Contact Information
Primary practice address
280 Bahama Dr
Merritt Island FL 32952-3605
Phone: (321) 848-0255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL10561 | Florida |
Profile Details
| NPI number | 1649699265 |
|---|---|
| LBN Legal business name | Angel Guardian Assisted Living |
| DBA Doing business as | |
| Authorized official | Simone, Roseann J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2014 |
| Last updated | May 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649699265 | NPPES |
| New York | Other | $$$$$$$$$ | PERSONAL SOCIAL SECURITY |
| New York | Other | AL10561 | PERSONAL SOCIAL SECURITY |
| New York | Other | 1184967184 | PERSONAL SOCIAL SECURITY |
| New York | MEDICAID | 008458000 | PERSONAL SOCIAL SECURITY |
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