Hodge'S Group Home, Inc

LBN: Hodge'S Group Home, Inc
Hodge'S Group Home, Inc is an health care organization with primary practice located at 4001 Kaluga Park St , Orlando FL 32808-7473. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Hodge'S Group Home, Inc can be contacted via phone (407) 496-7356, or through Hodge, Deborah via phone (407) 496-7356.

Contact Information

Primary practice address
4001 Kaluga Park St Orlando FL 32808-7473
Phone: (407) 496-7356
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hodge, Deborah
Phone: (407) 496-7356

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1477922417
LBN Legal business name Hodge'S Group Home, Inc
DBA Doing business as
Authorized official Hodge, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2015
Last updated Sep 21st, 2015 - about 9 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 1477922417 NPPES
Florida MEDICAID 684197001

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