Green Life Assisted Living Facility, Llc

LBN: Green Life Assisted Living Facility, Llc
Green Life Assisted Living Facility, Llc is an health care organization with primary practice located at 840 Sw 8Th St , Pompano Beach FL 33060-8214. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Green Life Assisted Living Facility, Llc can be contacted via phone (855) 331-6615, or through Clark, Mari via phone (813) 931-1433.

Contact Information

Primary practice address
840 Sw 8Th St Pompano Beach FL 33060-8214
Phone: (855) 331-6615
Fax: (855) 638-4902
Website:
Map and Directions
Authorized official contact:
Name: Clark, Mari
Phone: (813) 931-1433

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12577 Florida

Profile Details

NPI number 1124423470
LBN Legal business name Green Life Assisted Living Facility, Llc
DBA Doing business as
Authorized official Clark, Mari
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2014
Last updated Mar 5th, 2015 - about 10 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 1124423470 NPPES
Florida MEDICAID 013937500

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