Guardian Home Ii Alf Llc

LBN: Guardian Home Ii Alf Llc
Guardian Home Ii Alf Llc is an health care organization with primary practice located at 902 Canal St. , New Smyrna Beach FL 32168. 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. Guardian Home Ii Alf Llc can be contacted via phone (386) 409-9455, or through Fernando, Gladys via phone (386) 409-9456.

Contact Information

Primary practice address
902 Canal St. New Smyrna Beach FL 32168
Phone: (386) 409-9455
Fax: (386) 409-9456
Website:
Map and Directions
Authorized official contact:
Name: Fernando, Gladys Registered Nurse (RN)
Phone: (386) 409-9456

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL55 Florida

Profile Details

NPI number 1174707640
LBN Legal business name Guardian Home Ii Alf Llc
DBA Doing business as
Authorized official Fernando, Gladys Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Mar 3rd, 2009 - about 16 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 1174707640 NPPES
Florida MEDICAID 142656700

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