Seaside Manor, Llc

LBN: Seaside Manor, Llc
Seaside Manor, Llc is an health care organization with primary practice located at 1050 Ocean Shore Blvd , Ormond Beach FL 32176-4126. 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. Seaside Manor, Llc can be contacted via phone (386) 441-1771, or through Weisberg, William I. via phone (216) 292-5706.

Contact Information

Primary practice address
1050 Ocean Shore Blvd Ormond Beach FL 32176-4126
Phone: (386) 441-1771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weisberg, William I.
Phone: (216) 292-5706

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL8860 Florida

Profile Details

NPI number 1790038776
LBN Legal business name Seaside Manor, Llc
DBA Doing business as
Authorized official Weisberg, William I.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2012
Last updated May 23rd, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790038776 NPPES
Florida MEDICAID 008052000

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