Jacaranda Manor

LBN: Jacaranda Manor
Jacaranda Manor is an health care organization with primary practice located at 4250 66Th St N , Kenneth City FL 33709-4918. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Jacaranda Manor can be contacted via phone (727) 546-2405, or through Walker, Terri M via phone (727) 546-2405.

Contact Information

Primary practice address
4250 66Th St N Kenneth City FL 33709-4918
Phone: (727) 546-2405
Fax: (727) 541-5154
Website:
Map and Directions
Authorized official contact:
Name: Walker, Terri M NHA
Phone: (727) 546-2405

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1252096 Florida

Profile Details

NPI number 1205834413
LBN Legal business name Jacaranda Manor
DBA Doing business as
Authorized official Walker, Terri M NHA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1205834413 NPPES
Florida Other SNF1252096 LICENSE NUMBER

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