The Club At Brandon

LBN: Brandon Slc Opco, Llc
The Club At Brandon is an health care organization with primary practice located at 3918 S Kings Ave , Brandon FL 33511-7749. 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. Brandon Slc Opco, Llc can be contacted via phone (813) 662-1535, or through Carvajal, Pilar via phone (305) 428-2480.

Contact Information

Primary practice address
3918 S Kings Ave Brandon FL 33511-7749
Phone: (813) 662-1535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carvajal, Pilar
Phone: (305) 428-2480

Health care specialties

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

Profile Details

NPI number 1942913157
LBN Legal business name Brandon Slc Opco, Llc
DBA Doing business as The Club At Brandon
Authorized official Carvajal, Pilar
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2023
Last updated May 15th, 2023 - about last year

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 1942913157 NPPES
Florida MEDICAID 00000000000

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