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HSRE-AHR BONITA SPRINGS TRS LLC NPI 1437659232


NPI Information

NPI: 1437659232
Provider Name: HSRE-AHR BONITA SPRINGS TRS LLC

Doing Business As: AMERICAN HOUSE BONITA SPRINGS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2095345

Address:
11400 LONGFELLOW LN
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 301-4239
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HSRE-AHR BONITA SPRINGS TRS LLC is an assisted living facility in Bonita Springs, 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. HSRE-AHR BONITA SPRINGS TRS LLC NPI is 1437659232. The provider is registered as an organization entity type.
The provider Is Doing Business As American House Bonita Springs.

The provider's business location address is:

11400 LONGFELLOW LN
BONITA SPRINGS, FL
ZIP 34135-963
Phone: (239) 301-4239
Fax: (239) 301-0613

The provider's authorized official is Eugene Valentine .
The authorized official title is Administrator and has the following contact phone number (239) 301-4239.

The CLIA number assigned to this NPI record is 10D2095345 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2018 and was last updated on 11/17/2021.


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
1310400000XAssisted Living FacilityAL12672FLORIDAYes

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: 5/5/2024

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