Balmoral Assisted Living

LBN: Nic 4 Balmoral Leasing Llc
Balmoral Assisted Living is an health care organization with primary practice located at 93 Balmoral Drive , Lake Placid FL 33852. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Nic 4 Balmoral Leasing Llc can be contacted via phone (863) 465-6584, or through Ryu, Jane via phone (212) 479-5270.

Contact Information

Primary practice address
93 Balmoral Drive Lake Placid FL 33852
Fax: (863) 465-6585
Website:
Authorized official contact:
Name: Ryu, Jane

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 11307 Florida

Profile Details

NPI number 1720422405
LBN Legal business name Nic 4 Balmoral Leasing Llc
DBA Doing business as Balmoral Assisted Living
Authorized official Ryu, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2013
Last updated Nov 30th, 2016 - about 8 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 1720422405 NPPES
Florida Other 003688600 MEDICAID AL WAIVER

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