Superior Residences Of Brandon

LBN: Sri Of Brandon Mc, Llc
Superior Residences Of Brandon is an health care organization with primary practice located at 1819 Providence Ridge Blvd , Brandon FL 33511-1899. 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. Sri Of Brandon Mc, Llc can be contacted via phone (813) 657-8587, or through Mccarthy, Dennis via phone (352) 686-3831.

Contact Information

Primary practice address
1819 Providence Ridge Blvd Brandon FL 33511-1899
Phone: (813) 657-8587
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccarthy, Dennis
Phone: (352) 686-3831

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 9739 Florida

Profile Details

NPI number 1184045890
LBN Legal business name Sri Of Brandon Mc, Llc
DBA Doing business as Superior Residences Of Brandon
Authorized official Mccarthy, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 23rd, 2013
Last updated Dec 23rd, 2013 - about 12 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 1184045890 NPPES
Florida Other 9739 AHCA

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