Golden Wings Darrow Alf

LBN: At Home Of Brevard Llc
Golden Wings Darrow Alf is an health care organization with primary practice located at 1351 Darrow Rd Sw , Palm Bay FL 32908-6248. 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. At Home Of Brevard Llc can be contacted via phone (321) 676-6331, or through Cullen, Michael Joseph via phone (321) 676-6331.

Contact Information

Primary practice address
1351 Darrow Rd Sw Palm Bay FL 32908-6248
Phone: (321) 676-6331
Fax: (321) 951-2118
Website:
Map and Directions
Authorized official contact:
Name: Cullen, Michael Joseph
Phone: (321) 676-6331

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 9150 Florida

Profile Details

NPI number 1730314311
LBN Legal business name At Home Of Brevard Llc
DBA Doing business as Golden Wings Darrow Alf
Authorized official Cullen, Michael Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2009
Last updated May 26th, 2009 - about 16 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 1730314311 NPPES
Florida MEDICAID 684950400

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