Home Again Of Southwest Florida,Inc.

LBN: Home Again Of Southwest Florida,Inc.
Home Again Of Southwest Florida,Inc. is an health care organization with primary practice located at 1357 Ramsdel St , Port Charlotte FL 33952-2887. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, 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. Home Again Of Southwest Florida,Inc. can be contacted via phone (941) 743-4857, or through Ashley, Angela via phone (941) 743-4857.

Contact Information

Primary practice address
1357 Ramsdel St Port Charlotte FL 33952-2887
Phone: (941) 743-4857
Fax: (800) 921-4989
Website:
Map and Directions
Authorized official contact:
Name: Ashley, Angela
Phone: (941) 743-4857

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Florida
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Florida

Profile Details

NPI number 1750684809
LBN Legal business name Home Again Of Southwest Florida,Inc.
DBA Doing business as
Authorized official Ashley, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2010
Last updated Dec 13th, 2010 - about 14 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 1750684809 NPPES
Other 678473996 MEDICAID WAIVER

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