Baxter'S Adult Home

LBN: Baxter'S Adult Living Facility. Inc
Baxter'S Adult Home is an health care organization with primary practice located at 1092 Sw Majorca Avenue , Port St Lucie FL 34953. 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. Baxter'S Adult Living Facility. Inc can be contacted via phone (772) 871-7865, or through Frelani, Yvonne S via phone (772) 871-7865.

Contact Information

Primary practice address
1092 Sw Majorca Avenue Port St Lucie FL 34953
Phone: (772) 871-7865
Fax: (772) 871-7988
Website:
Map and Directions
Authorized official contact:
Name: Frelani, Yvonne S
Phone: (772) 871-7865

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 11666 Florida

Profile Details

NPI number 1104269026
LBN Legal business name Baxter'S Adult Living Facility. Inc
DBA Doing business as Baxter'S Adult Home
Authorized official Frelani, Yvonne S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated Apr 10th, 2013 - about 11 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 1104269026 NPPES
Florida MEDICAID 001599100

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