Indigo Palms

LBN: Indigo Palms
Indigo Palms is an health care organization with primary practice located at 570 National Health Care Dr , Daytona Beach FL 32114-1494. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Indigo Palms can be contacted via phone (386) 238-3333, or through Mitchell, Paul Jameson Marsh via phone (386) 238-3333.

Contact Information

Primary practice address
570 National Health Care Dr Daytona Beach FL 32114-1494
Phone: (386) 238-3333
Fax: (386) 238-3414
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Paul Jameson Marsh CALA
Phone: (386) 238-3333

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9261 Florida
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X AL9261 Florida

Profile Details

NPI number 1376741124
LBN Legal business name Indigo Palms
DBA Doing business as
Authorized official Mitchell, Paul Jameson Marsh CALA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated Aug 22nd, 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 1376741124 NPPES
Florida Other AL9261 FLORIDA LICENSE NUMBER

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