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MERCED CARE HOME LLC NPI 1386093144


NPI Information

NPI: 1386093144
Provider Name: MERCED CARE HOME LLC

Doing Business As: MELBA MERCED

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
4616 N LINCOLN AVE
TAMPA, FL
ZIP 33614
Phone: (813) 516-4399
Get Directions

MERCED CARE HOME LLC is a day training developmentally disabled services in Tampa, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MERCED CARE HOME LLC NPI is 1386093144. The provider is registered as an organization entity type.
The provider Is Doing Business As Melba Merced.

The provider's business location address is:

4616 N LINCOLN AVE
TAMPA, FL
ZIP 33614-634
Phone: (813) 516-4399

The provider's authorized official is Melba Merced .
The authorized official title is President and has the following contact phone number (813) 516-4399.

The enumeration date for this NPI number is 6/11/2016 and was last updated on 6/11/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesFLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1015674300MEDICAIDFLORIDA

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: 4/28/2024

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