Raydiant Health Care Of Brandon

LBN: Brandon Facility Operations Llc
Raydiant Health Care Of Brandon is an health care organization with primary practice located at 701 Victoria St , Brandon FL 33510-4100. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Brandon Facility Operations Llc can be contacted via phone (813) 681-4220, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
701 Victoria St Brandon FL 33510-4100
Fax: (813) 689-5685
Website:
Authorized official contact:
Name: Ussery, Kenneth

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1577096 Florida

Profile Details

NPI number 1780606715
LBN Legal business name Brandon Facility Operations Llc
DBA Doing business as Raydiant Health Care Of Brandon
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 22nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780606715 NPPES
Florida MEDICAID 008037700

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