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EAKENS GROUP HOME NPI 1629526074


NPI Information

NPI: 1629526074
Provider Name: EAKENS GROUP HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
8402 RIO BRAVO CT
3
TAMPA, FL
ZIP 33617
Phone: (832) 727-0118
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EAKENS GROUP HOME is an adult care home custodial care facility in Tampa, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. EAKENS GROUP HOME NPI is 1629526074. The provider is registered as an organization entity type.

The provider's business location address is:

8402 RIO BRAVO CT
3
TAMPA, FL
ZIP 33617-083
Phone: (832) 727-0118
Fax: (832) 727-0118

The provider's authorized official is Roneisha Milner .
The authorized official title is Licensed Practical Nurse and has the following contact phone number (832) 727-0118.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 9/14/2016.


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
1311ZA0620XCustodial Care FacilityAdult Care HomePN5211100FLORIDAYes

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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