Indigo Palms in Daytona Beach - Alzheimer Center (dementia Center)
Indigo Palms - NPI 1376741124
Indigo Palms is a Alzheimer Center (dementia Center) in Daytona Beach, Florida. Indigo Palms practices all healthcare services and medical treatments related to Alzheimer Center (dementia Center). The NPI Number for Indigo Palms is 1376741124. The last update date is 2020-08-22.
Indigo Palms's current location address is 570 National Health Care Dr, Daytona Beach, Florida. You can contact this provider via phone number 3862383333 and fax number 3862383414. The mailing address for Indigo Palms is 570 National Health Care Dr, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indigo Palms |
|---|---|
| Address | 570 National Health Care Dr, Daytona Beach, Florida |
| Phone Number | 3862383333 |
| Fax Number | 3862383414 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Mitchell Jameson Ma Paul |
| Credentials | CALA |
| Telephone Number | 3862383333 |
NPI Number Detail
| NPI Number | 1376741124 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 570 National Health Care Dr |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321141494 |
| Phone Number | 3862383333 |
| Fax Number | 3862383414 |
Provider's Primary Taxonomy Detail
| Speciality | Alzheimer Center (dementia Center) |
|---|---|
| Taxonomy | 311500000X |
| Licence No | AL9261 |
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Definition: A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AL9261 | FL | FLORIDA LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Indigo Palms by the Centers for Medicare & Medicaid Services?
The Indigo Palms has been assigned the NPI (National Provider Identifier) 1376741124. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Indigo Palms is physically located?
The Indigo Palms is physically situated at the following address: 570 National Health Care Dr, Daytona Beach, FL, 321141494.
What is the Indigo Palms's area of specialization and corresponding taxonomy classification?
The Indigo Palms's specialty field is Alzheimer Center (dementia Center), and it falls under the taxonomy code 311500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1376741124 to Indigo Palms?
The Centers for Medicare & Medicaid Services assigned the 1376741124 to Indigo Palms on 2007-07-03.
When was the information pertaining to Indigo Palms most recently updated or revised?
The details related to Indigo Palms, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.