Yard 58 Llc

LBN: Yard 58 Llc
Yard 58 Llc is an health care organization with primary practice located at 119 Belleair Pl , Clearwater FL 33756-2601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Yard 58 Llc can be contacted via phone (727) 564-6494, or through Reeves, Antoinette via phone (727) 564-6494.

Contact Information

Primary practice address
119 Belleair Pl Clearwater FL 33756-2601
Phone: (727) 564-6494
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reeves, Antoinette
Phone: (727) 564-6494

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1326759762
LBN Legal business name Yard 58 Llc
DBA Doing business as
Authorized official Reeves, Antoinette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2022
Last updated Feb 28th, 2023 - about last year

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 1326759762 NPPES
Florida MEDICAID 12345

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