SALEM HOMES OF FLORIDA INC. NPI 1457786386

NPI Information

NPI: 1457786386
Provider Name: SALEM HOMES OF FLORIDA, INC.

Doing Business As: SPRING STREET GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
930 SW SPRING LN
LAKE CITY, FL
ZIP 32025
Phone: (352) 372-0130
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SALEM HOMES OF FLORIDA, INC. is an intermediate care facility mentally retarded in Lake City, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SALEM HOMES OF FLORIDA, INC. NPI is 1457786386. The provider is registered as an organization entity type.
The provider Is Doing Business As Spring Street Group Home.

The provider's business location address is:

930 SW SPRING LN
LAKE CITY, FL
ZIP 32025-082
Phone: (352) 372-0130

The provider's authorized official is Deena G. Ombres .
The authorized official title is Assoc. Gen. Counsel/privacy Officer and has the following contact phone number (502) 394-2100.

The CLIA number assigned to this NPI record is 10D0952130 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2013 and was last updated on 9/11/2013.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities		4048096	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: 5/5/2024

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