Home At Last Of Brevard,Inc.

LBN: Home At Last Of Brevard,Inc.
Home At Last Of Brevard,Inc. is an health care organization with primary practice located at 2333 Jupiter Blvd Sw , Palm Bay FL 32908-3416. 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 At Last Of Brevard,Inc. can be contacted via phone (321) 508-4639, or through Payne, Alvin via phone (321) 508-4639.

Contact Information

Primary practice address
2333 Jupiter Blvd Sw Palm Bay FL 32908-3416
Phone: (321) 508-4639
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Payne, Alvin
Phone: (321) 508-4639

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 1508169657
LBN Legal business name Home At Last Of Brevard,Inc.
DBA Doing business as
Authorized official Payne, Alvin
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 1508169657 NPPES
Florida Other 674701996 MEDICAID WAIVER

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