Memorial Manor Nursing Home

LBN: South Broward Hospital District
Memorial Manor Nursing Home is an health care organization with primary practice located at 777 S Douglas Rd , Pembroke Pines FL 33025-1353. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. South Broward Hospital District can be contacted via phone (954) 431-1100, or through Hennemyre, Jon via phone (954) 276-6201.

Contact Information

Primary practice address
777 S Douglas Rd Pembroke Pines FL 33025-1353
Phone: (954) 431-1100
Fax: (954) 443-4798
Website:
Map and Directions
Authorized official contact:
Name: Hennemyre, Jon NHA
Phone: (954) 276-6201

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1342096 Florida

Profile Details

NPI number 1114920584
LBN Legal business name South Broward Hospital District
DBA Doing business as Memorial Manor Nursing Home
Authorized official Hennemyre, Jon NHA
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Jan 23rd, 2019 - 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 1114920584 NPPES
Florida MEDICAID 020100600

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