THE RANCH ALF INC NPI 1013455096

NPI Information

NPI: 1013455096
Provider Name: THE RANCH ALF, INC

Doing Business As: THE RANCH ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4919 LORRAINE RD
BRADENTON, FL
ZIP 34211
Phone: (941) 504-9412
Get Directions

THE RANCH ALF, INC is an assisted living facility in Bradenton, 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. THE RANCH ALF, INC NPI is 1013455096. The provider is registered as an organization entity type.
The provider Is Doing Business As The Ranch Alf.

The provider's business location address is:

4919 LORRAINE RD
BRADENTON, FL
ZIP 34211-269
Phone: (941) 504-9412
Fax: (941) 761-5200

The provider's authorized official is Melissa Ann Bongart .
The authorized official title is Owner / Operator and has the following contact phone number (941) 504-9412.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 5/10/2017.

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	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	AL12936	FLORIDA	No
2	385H00000X	Respite Care		AL12936	FLORIDA	No
3	310400000X	Assisted Living Facility		AL12936	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019988800	MEDICAID	FLORIDA
2	AL12936	OTHER	FLORIDA	AHCA LICENSE NUMBER

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

NPI Synchronization or Removal

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