Southern Gardens

LBN: Nic 4 Southern Gardens Leasing Llc
Southern Gardens is an health care organization with primary practice located at 255 E Main St , Lake Alfred FL 33850-2133. 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 Southern Gardens Leasing Llc can be contacted via phone (212) 479-5343, or through Sigman, Brian via phone (212) 479-5343.

Contact Information

Primary practice address
255 E Main St Lake Alfred FL 33850-2133
Phone: (212) 479-5343
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sigman, Brian
Phone: (212) 479-5343

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 8937 Florida

Profile Details

NPI number 1710321112
LBN Legal business name Nic 4 Southern Gardens Leasing Llc
DBA Doing business as Southern Gardens
Authorized official Sigman, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2013
Last updated Apr 29th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710321112 NPPES
Florida Other 689986200 MEDICAID AL WAIVER
Florida Other 1423860 MEDICAID AL WAIVER

Popular Providers