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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114920584 | NPPES |
Florida | MEDICAID | 020100600 |
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