Carlton Shores Health And Rehabilitation Center

LBN: Carlton Shores Nh Llc
Carlton Shores Health And Rehabilitation Center is an health care organization with primary practice located at 1350 S Nova Rd , Daytona Beach FL 32114-5812. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Carlton Shores Nh Llc can be contacted via phone (386) 258-5544, or through Mando, William P via phone (813) 635-9500.

Contact Information

Primary practice address
1350 S Nova Rd Daytona Beach FL 32114-5812
Phone: (386) 258-5544
Fax: (386) 255-5623
Website:
Map and Directions
Authorized official contact:
Name: Mando, William P
Phone: (813) 635-9500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 6110 Florida
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 002213800 Florida
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1588986368
LBN Legal business name Carlton Shores Nh Llc
DBA Doing business as Carlton Shores Health And Rehabilitation Center
Authorized official Mando, William P
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2010
Last updated Jun 20th, 2011 - about 13 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 1588986368 NPPES
Florida MEDICAID 002213800

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