Harborchase Of Venice

LBN: Prime Care One, Llc
Harborchase Of Venice is an health care organization with primary practice located at 950 Pinebrook Rd , Venice FL 34285-7147. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Prime Care One, Llc can be contacted via phone (941) 484-8801, or through Mitchell, Thomas via phone (772) 492-5002.

Contact Information

Primary practice address
950 Pinebrook Rd Venice FL 34285-7147
Fax: (941) 484-3450
Website:
Authorized official contact:
Name: Mitchell, Thomas

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL8813 Florida
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF130470962 Florida

Profile Details

NPI number 1447327648
LBN Legal business name Prime Care One, Llc
DBA Doing business as Harborchase Of Venice
Authorized official Mitchell, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 30th, 2014 - about 11 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 1447327648 NPPES
Florida MEDICAID 021332200

Popular Providers