LIDI'S HEALTH CARE NPI 1114135340

NPI Information

NPI: 1114135340
Provider Name: LIDI'S HEALTH CARE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
15678 SW 20TH ST
MIAMI, FL
ZIP 33185
Phone: (305) 223-9611
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LIDI'S HEALTH CARE is an assisted living facility in Miami, FL. The provider is 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. LIDI'S HEALTH CARE NPI is 1114135340. The provider is registered as an organization entity type.

The provider's business location address is:

15678 SW 20TH ST
MIAMI, FL
ZIP 33185-826
Phone: (305) 223-9611
Fax: (305) 225-1289

The provider's authorized official is Orlando Llanos .
The authorized official title is Administrator and has the following contact phone number (305) 223-9611.

The enumeration date for this NPI number is 5/20/2007 and was last updated on 8/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL 10822	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142611700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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