Florida Homestyle Manor, Llc

LBN: Florida Homestyle Manor, Llc
Florida Homestyle Manor, Llc is an health care organization with primary practice located at 481 Dagama Dr , Clermont FL 34715-8037. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Florida Homestyle Manor, Llc can be contacted via phone (205) 541-9580, or through Grove, Anthony C via phone (205) 541-9580.

Contact Information

Primary practice address
481 Dagama Dr Clermont FL 34715-8037
Phone: (205) 541-9580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grove, Anthony C
Phone: (205) 541-9580

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1568089050
LBN Legal business name Florida Homestyle Manor, Llc
DBA Doing business as
Authorized official Grove, Anthony C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2020
Last updated Aug 22nd, 2021 - about 3 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 1568089050 NPPES
Florida MEDICAID 109504600
Florida Other 13002507

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