Providence Home in Orlando - Assisted Living Facility

Providence Home - NPI 1639333495

Providence Home is a Assisted Living Facility in Orlando, Florida. Providence Home practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Providence Home is 1639333495. The last update date is 2008-07-10.

Providence Home's current location address is 8544 Park Highland Dr, Orlando, Florida. You can contact this provider via phone number 4079535657. The mailing address for Providence Home is 8544 Park Highland Dr, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Home
Address 8544 Park Highland Dr, Orlando, Florida
Phone Number 4079535657
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Lawrence-Pokima Veronica
Telephone Number 4079535657

NPI Number Detail

NPI Number 1639333495
Provider Enumeration Date 2008-07-10
Last Updated Date 2008-07-10

Provider Mailing Address Detail

Address 8544 Park Highland Dr
City Orlando
State Florida (FL)
Post Code 328185770
Phone Number 4079535657
Fax Number

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No AL10413
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
687327800 FL --

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FAQs about Providence Home

What is the unique 10-digit identifier code assigned to Providence Home by the Centers for Medicare & Medicaid Services?

The Providence Home has been issued the NPI (National Provider Identifier) 1639333495 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Providence Home is located?

The Providence Home is situated at the following address: 8544 Park Highland Dr, Orlando, FL, 328185770.

What is the Providence Home's specialty and taxonomy code?

The Providence Home's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.

When did Providence Home receive its 1639333495 assignment?

The Providence Home was assigned its 1639333495 on 2008-07-10, which is the date when this unique identifier was issued to the organization.

When was the information related to Providence Home most recently updated or refreshed?

The details pertaining to the Providence Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-10.

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