My Place Llc

LBN: My Place Llc
My Place Llc is an health care organization with primary practice located at 713 Doby Ave , Orlando FL 32805-3046. The organization recently has 10 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty. My Place Llc can be contacted via phone (386) 983-0154, or through Bush, La'Stacia via phone (386) 983-0154.

Contact Information

Primary practice address
713 Doby Ave Orlando FL 32805-3046
Phone: (386) 983-0154
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bush, La'Stacia Registered Nurse (RN)
Phone: (386) 983-0154

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1487111944
LBN Legal business name My Place Llc
DBA Doing business as
Authorized official Bush, La'Stacia Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2019
Last updated Feb 20th, 2019 - about 6 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 1487111944 NPPES
Florida MEDICAID 0135291002

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