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EXCELSIOR OMEGA INC NPI 1588115331


NPI Information

NPI: 1588115331
Provider Name: EXCELSIOR OMEGA INC

Doing Business As: BRISIANA MANOR

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
16 SAINT LUCIE AVE
SARASOTA, FL
ZIP 34232
Phone: (941) 371-4091
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EXCELSIOR OMEGA INC is a foster care agency in Sarasota, FL. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. EXCELSIOR OMEGA INC NPI is 1588115331. The provider is registered as an organization entity type.
The provider Is Doing Business As Brisiana Manor.

The provider's business location address is:

16 SAINT LUCIE AVE
SARASOTA, FL
ZIP 34232-636
Phone: (941) 371-4091
Fax: (941) 460-4387

The provider's authorized official is Jacqueline Dorelien .
The authorized official title is Manager and has the following contact phone number (941) 371-4091.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.


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
1253J00000XFoster Care AgencyYes

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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