Robert Vereen Adult Family Care Home

LBN: Robert Vereen Adult Family Care Home
Robert Vereen Adult Family Care Home is an health care organization with primary practice located at 10010 Benjamin Smith Dr , Thonotosassa FL 33592-3367. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Robert Vereen Adult Family Care Home can be contacted via phone (813) 986-9003, or through Pearson-Vereen, Mary Dean via phone (813) 986-9003.

Contact Information

Primary practice address
10010 Benjamin Smith Dr Thonotosassa FL 33592-3367
Phone: (813) 986-9003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pearson-Vereen, Mary Dean
Phone: (813) 986-9003

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 6905877 Florida

Profile Details

NPI number 1326438748
LBN Legal business name Robert Vereen Adult Family Care Home
DBA Doing business as
Authorized official Pearson-Vereen, Mary Dean
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2015
Last updated Jan 24th, 2015 - about 10 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 1326438748 NPPES
Florida MEDICAID 141386400

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