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PALM GARDENS MANOR INC/DBAPALMGARDENS5 NPI 1164843595


NPI Information

NPI: 1164843595
Provider Name: PALM GARDENS MANOR INC/DBAPALMGARDENS5
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5435 W 14TH AVE
HIALEAH, FL
ZIP 33012
Phone: (305) 970-8812
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PALM GARDENS MANOR INC/DBAPALMGARDENS5 is an assisted living facility in Hialeah, 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. PALM GARDENS MANOR INC/DBAPALMGARDENS5 NPI is 1164843595. The provider is registered as an organization entity type.

The provider's business location address is:

5435 W 14TH AVE
HIALEAH, FL
ZIP 33012-210
Phone: (305) 970-8812
Fax: (305) 825-5007

The provider's authorized official is Ana Alvarez .
The authorized official title is Administrator Owner and has the following contact phone number (305) 970-8812.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 1/3/2014.


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
1310400000XAssisted Living FacilityAL10264FLORIDAYes

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
11447412267MEDICAIDFLORIDA
21831510247MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.