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CALVINELLE CARE CONCEPT LLC NPI 1740428895


NPI Information

NPI: 1740428895
Provider Name: CALVINELLE CARE CONCEPT, LLC

Doing Business As: CALVINELLE ADULT HOME ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1627 NW 62ND TER
MIAMI, FL
ZIP 33147
Phone: (305) 308-2728
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CALVINELLE CARE CONCEPT, LLC 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. CALVINELLE CARE CONCEPT, LLC NPI is 1740428895. The provider is registered as an organization entity type.
The provider Is Doing Business As Calvinelle Adult Home Alf.

The provider's business location address is:

1627 NW 62ND TER
MIAMI, FL
ZIP 33147-900
Phone: (305) 308-2728

The provider's authorized official is Gayon Dunn .
The authorized official title is Owner/ Administrator and has the following contact phone number (305) 308-2728.

The enumeration date for this NPI number is 1/28/2009 and was last updated on 3/13/2015.


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 FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1006246600MEDICAIDFLORIDA

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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