Provident Care Residential Home Llc

LBN: Provident Care Residential Home Llc
Provident Care Residential Home Llc is an health care organization with primary practice located at 4170 Mutter Rd , Saint Cloud FL 34769-6836. 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. Provident Care Residential Home Llc can be contacted via phone (407) 556-3406, or through Ellis-Mcintyre, Nadine via phone (321) 443-5470.

Contact Information

Primary practice address
4170 Mutter Rd Saint Cloud FL 34769-6836
Phone: (407) 556-3406
Fax: (407) 556-3406
Website:
Map and Directions
Authorized official contact:
Name: Ellis-Mcintyre, Nadine
Phone: (321) 443-5470

Health care specialties

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

Profile Details

NPI number 1578150397
LBN Legal business name Provident Care Residential Home Llc
DBA Doing business as
Authorized official Ellis-Mcintyre, Nadine
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2020
Last updated Dec 28th, 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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