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ASSISTED LIVING OF BROWARD NPI 1104127315


NPI Information

NPI: 1104127315
Provider Name: ASSISTED LIVING OF BROWARD
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2196773

Address:
17646 SW 10 STREET
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 538-9061
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ASSISTED LIVING OF BROWARD is an assisted living facility in Pembroke Pines, 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. ASSISTED LIVING OF BROWARD NPI is 1104127315. The provider is registered as an organization entity type.

The provider's business location address is:

17646 SW 10 STREET
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 538-9061

The provider's authorized official is Sahi Navpreet .
The authorized official title is Owner/administrator and has the following contact phone number (954) 538-9061.

The CLIA number assigned to this NPI record is 10D2196773 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/4/2010.


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 Facility10186FLORIDAYes

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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