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PINECREST FAMILY CARE GROUP INC NPI 1386954972


NPI Information

NPI: 1386954972
Provider Name: PINECREST FAMILY CARE GROUP, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2114978

Address:
7554 S.W. 108TH TERRACE
MIAMI, FL
ZIP 33156
Phone: (305) 972-5290
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PINECREST FAMILY CARE GROUP, INC 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. PINECREST FAMILY CARE GROUP, INC NPI is 1386954972. The provider is registered as an organization entity type.

The provider's business location address is:

7554 S.W. 108TH TERRACE
MIAMI, FL
ZIP 33156
Phone: (305) 972-5290

The provider's authorized official is Bryan Tirador .
The authorized official title is Owner and has the following contact phone number (305) 972-5290.

The CLIA number assigned to this NPI record is 10D2114978 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2010 and was last updated on 10/15/2010.


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
1310400000XAssisted Living FacilityAL11577FLORIDAYes

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

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