Senior Care Of Brevard

LBN: Immaculate Adult Day Care Llc
Senior Care Of Brevard is an health care organization with primary practice located at 234 Willard St Ste A , Cocoa FL 32922-7984. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Immaculate Adult Day Care Llc can be contacted via phone (321) 631-9014, or through Rutherford, Joy via phone (321) 631-9014.

Contact Information

Primary practice address
234 Willard St Ste A Cocoa FL 32922-7984
Phone: (321) 631-9014
Fax: (321) 631-8010
Website:
Map and Directions
Authorized official contact:
Name: Rutherford, Joy APRN,MSN
Phone: (321) 631-9014

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X

Profile Details

NPI number 1144876327
LBN Legal business name Immaculate Adult Day Care Llc
DBA Doing business as Senior Care Of Brevard
Authorized official Rutherford, Joy APRN,MSN
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2019
Last updated Jan 27th, 2020 - about 4 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 1144876327 NPPES
Florida MEDICAID 105066100

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