NOKOMIS ASSISTED LIVING NPI 1114698255

NPI Information

NPI: 1114698255
Provider Name: NOKOMIS ASSISTED LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
336 MONET DR
NOKOMIS, FL
ZIP 34275
Phone: (412) 401-7109
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NOKOMIS ASSISTED LIVING is an assisted living facility in Nokomis, 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. NOKOMIS ASSISTED LIVING NPI is 1114698255. The provider is registered as an organization entity type.

The provider's business location address is:

336 MONET DR
NOKOMIS, FL
ZIP 34275-357
Phone: (412) 401-7109

The provider's authorized official is Kevon Bruce .
The authorized official title is Managing Member and has the following contact phone number (412) 401-7109.

The enumeration date for this NPI number is 9/27/2021 and was last updated on 9/27/2021.

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	Primary
1	251G00000X	Hospice Care, Community Based		No
2	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
3	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
4	315D00000X	Hospice, Inpatient		No
5	310400000X	Assisted Living Facility		Yes

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: 5/5/2024

NPI Synchronization or Removal

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