Silver Lake Village, Inc

LBN: Silver Lake Village, Inc
Silver Lake Village, Inc is an health care organization with primary practice located at 34601 Radio Rd , Leesburg FL 34788-3301. 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. Silver Lake Village, Inc can be contacted via phone (503) 833-2814, or through Bongiovanni, Samuel via phone (503) 833-2814.

Contact Information

Primary practice address
34601 Radio Rd Leesburg FL 34788-3301
Phone: (503) 833-2814
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bongiovanni, Samuel
Phone: (503) 833-2814

Health care specialties

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

Profile Details

NPI number 1952937112
LBN Legal business name Silver Lake Village, Inc
DBA Doing business as
Authorized official Bongiovanni, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2020
Last updated Mar 19th, 2020 - about 5 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 1952937112 NPPES
Florida MEDICAID NONE

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