Convenient Care And Assessment Llc

LBN: Convenient Care And Assessment Llc
Convenient Care And Assessment Llc is an health care organization with primary practice located at 2407 S Peninsula Dr , Daytona Beach FL 32118-5412. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Convenient Care And Assessment Llc can be contacted via phone (386) 212-1222, or through Deginder, Desiree Ihilani via phone (386) 212-1222.

Contact Information

Primary practice address
2407 S Peninsula Dr Daytona Beach FL 32118-5412
Phone: (386) 212-1222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deginder, Desiree Ihilani PSYD
Phone: (386) 212-1222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1609430388
LBN Legal business name Convenient Care And Assessment Llc
DBA Doing business as
Authorized official Deginder, Desiree Ihilani PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2019
Last updated Apr 28th, 2019 - about 6 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 1609430388 NPPES
Florida MEDICAID JN947

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