Countryside Haven Alf

LBN: C And M Healthcare Corp.
Countryside Haven Alf is an health care organization with primary practice located at 6960 County Road 95 , Palm Harbor FL 34684-4403. 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. C And M Healthcare Corp. can be contacted via phone (727) 786-8461, or through Pe, Caridad O via phone (727) 786-8461.

Contact Information

Primary practice address
6960 County Road 95 Palm Harbor FL 34684-4403
Phone: (727) 786-8461
Fax: (727) 784-0425
Website:
Map and Directions
Authorized official contact:
Name: Pe, Caridad O PHYSICIAN ASSISTANT
Phone: (727) 786-8461

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 5305 Florida

Profile Details

NPI number 1518171578
LBN Legal business name C And M Healthcare Corp.
DBA Doing business as Countryside Haven Alf
Authorized official Pe, Caridad O PHYSICIAN ASSISTANT
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Jul 14th, 2008 - 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 1518171578 NPPES
Florida MEDICAID 682835300

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