YOUR HOME ASSISTED LIVING LLC NPI 1073489159

NPI Information

  • NPI: 1073489159
  • Provider Name: YOUR HOME ASSISTED LIVING LLC
  • Classification: Clinical Nurse Specialist - 364SL0600X
  • Specialization: Long-Term Care
  • Entity Type: Organization
  • Address: 2005 W AIRPORT BLVD
    SANFORD, FL
    ZIP 32771
  • Phone: (407) 314-6599

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NPI Details

YOUR HOME ASSISTED LIVING LLC is a long-term care clinical nurse specialist in Sanford, FL. YOUR HOME ASSISTED LIVING LLC NPI is 1073489159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2005 W AIRPORT BLVD
SANFORD, FL
ZIP 32771-035
Phone: (407) 314-6599

The provider's authorized official is Nikia Williams .
The authorized official title is Owner and has the following contact phone number (407) 314-6599.

The enumeration date for this NPI number is 10/15/2025 and was last updated on 10/15/2025.

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
1364SL0600XClinical Nurse SpecialistLong-Term CareYes

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: 11/21/2025

NPI Synchronization or Removal

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