Homestead Retirement Home

LBN: Grell Enterprises, Inc.
Homestead Retirement Home is an health care organization with primary practice located at 1117 Massachusetts Ave , Saint Cloud FL 34769-3787. 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. Grell Enterprises, Inc. can be contacted via phone (407) 892-3831, or through Ellingsworth, Paul Chrisler via phone (614) 718-0093.

Contact Information

Primary practice address
1117 Massachusetts Ave Saint Cloud FL 34769-3787
Phone: (407) 892-3831
Fax: (407) 892-7120
Website:
Map and Directions
Authorized official contact:
Name: Ellingsworth, Paul Chrisler
Phone: (614) 718-0093

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X AL245 Florida

Profile Details

NPI number 1811162977
LBN Legal business name Grell Enterprises, Inc.
DBA Doing business as Homestead Retirement Home
Authorized official Ellingsworth, Paul Chrisler
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 17 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 1811162977 NPPES
Florida MEDICAID 140932800

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