Eastside Active Living Llc

LBN: Eastside Active Living Llc
Eastside Active Living Llc is an health care organization with primary practice located at 1600 Taft St , Hollywood FL 33020-3272. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Eastside Active Living Llc can be contacted via phone (954) 923-5057, or through Syhead, Moses via phone (954) 362-3487.

Contact Information

Primary practice address
1600 Taft St Hollywood FL 33020-3272
Phone: (954) 923-5057
Fax: (954) 927-7794
Website:
Map and Directions
Authorized official contact:
Name: Syhead, Moses
Phone: (954) 362-3487

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X AL12023 Florida

Profile Details

NPI number 1215323118
LBN Legal business name Eastside Active Living Llc
DBA Doing business as
Authorized official Syhead, Moses
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2015
Last updated May 23rd, 2016 - about 8 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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