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LORRAINE ASSISTED CARE INC NPI 1053739920


NPI Information

NPI: 1053739920
Provider Name: LORRAINE ASSISTED CARE, INC

Doing Business As: THE RANCH ASSITED LIVING FACILITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5916 LORRAINE RD
BRADENTON, FL
ZIP 34211
Phone: (941) 504-9412
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LORRAINE ASSISTED CARE, 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. LORRAINE ASSISTED CARE, INC NPI is 1053739920. The provider is registered as an organization entity type.
The provider Is Doing Business As The Ranch Assited Living Facility.

The provider's business location address is:

5916 LORRAINE RD
BRADENTON, FL
ZIP 34211-208
Phone: (941) 504-9412
Fax: (941) 761-5200

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

The enumeration date for this NPI number is 3/28/2014 and was last updated on 3/28/2014.


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
1261QA0600XClinic/CenterAdult Day CareAL12366FLORIDANo
2311ZA0620XCustodial Care FacilityAdult Care HomeAL12366FLORIDANo
3385H00000XRespite CareAL12366FLORIDANo
4310400000XAssisted Living FacilityAL12366FLORIDAYes

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
1004043700MEDICAIDFLORIDA

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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