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FT MYERS ALF BSLC LLC NPI 1184073363


NPI Information

NPI: 1184073363
Provider Name: FT MYERS ALF BSLC LLC

Doing Business As: LAMPLIGHT INN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2076318

Address:
1896 PARK MEADOWS DR
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-5421
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FT MYERS ALF BSLC LLC is an assisted living facility in Fort Myers, 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. FT MYERS ALF BSLC LLC NPI is 1184073363. The provider is registered as an organization entity type.
The provider Is Doing Business As Lamplight Inn.

The provider's business location address is:

1896 PARK MEADOWS DR
FORT MYERS, FL
ZIP 33907-738
Phone: (239) 939-5421

The provider's authorized official is Liza Rojas .
The authorized official title is Manager and has the following contact phone number (941) 809-6147.

The CLIA number assigned to this NPI record is 10D2076318 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 6/8/2016.


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 FacilityAL5096FLORIDAYes

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
1AL5096OTHERFLORIDAAHCA

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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