Palms Villa

LBN: Palms Villa Retirement Home, Inc.
Palms Villa is an health care organization with primary practice located at 2131 Nw 28Th St , Oakland Park FL 33311-2136. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Palms Villa Retirement Home, Inc. can be contacted via phone (954) 484-1350, or through Kissoonlal, Jason via phone (954) 484-1350.

Contact Information

Primary practice address
2131 Nw 28Th St Oakland Park FL 33311-2136
Phone: (954) 484-1350
Fax: (954) 527-0505
Website:
Map and Directions
Authorized official contact:
Name: Kissoonlal, Jason
Phone: (954) 484-1350

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X AL4990 Florida

Profile Details

NPI number 1083866818
LBN Legal business name Palms Villa Retirement Home, Inc.
DBA Doing business as Palms Villa
Authorized official Kissoonlal, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2008
Last updated Aug 26th, 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 1083866818 NPPES
Florida MEDICAID 140622100

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