EBENEZER FAMILY HOME 2 NPI 1144590001

NPI Information

NPI: 1144590001
Provider Name: EBENEZER FAMILY HOME 2
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1024 SW 11TH ST
MIAMI, FL
ZIP 33129
Phone: (305) 857-9425
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EBENEZER FAMILY HOME 2 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. EBENEZER FAMILY HOME 2 NPI is 1144590001. The provider is registered as an organization entity type.

The provider's business location address is:

1024 SW 11TH ST
MIAMI, FL
ZIP 33129-817
Phone: (305) 857-9425

The provider's authorized official is Erich Capestany .
The authorized official title is Administrator and has the following contact phone number (786) 376-6767.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 1/10/2012.

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		AL12048	FLORIDA	Yes

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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