Colleen Adult Family Care Home

LBN: Colleen Adult Family Care Home
Colleen Adult Family Care Home is an health care organization with primary practice located at 5615 Royal Hills St , Winter Haven FL 33881-7703. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Colleen Adult Family Care Home can be contacted via phone (863) 307-1298, or through Marshall, Colleen via phone (863) 307-1298.

Contact Information

Primary practice address
5615 Royal Hills St Winter Haven FL 33881-7703
Phone: (863) 307-1298
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Colleen
Phone: (863) 307-1298

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 6906156 Florida
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1538608930
LBN Legal business name Colleen Adult Family Care Home
DBA Doing business as
Authorized official Marshall, Colleen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2017
Last updated Mar 6th, 2019 - about 5 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 1538608930 NPPES
Florida MEDICAID 143074200

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