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BANYAN REALTY BR LLC NPI 1295123172


NPI Profile

NPI: 1295123172
Provider Name: BANYAN REALTY BR, LLC

Doing Business As: BANYAN PLACE

Classification:Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2950 NW 5TH AVE
BOCA RATON, FL
ZIP 33431
Get Directions

Phone: (561) 571-0300

BANYAN REALTY BR, LLC is an assisted living facility in Boca Raton, 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. BANYAN REALTY BR, LLC NPI is 1295123172. The provider is registered as an organization entity type.
The provider Is Doing Business As Banyan Place.

The provider's business location address is:

2950 NW 5TH AVE
BOCA RATON, FL
ZIP 33431-226
Phone: (561) 571-0300
Fax: (561) 347-8858

The provider's authorized official is Kevin P Wrenne .
The authorized official title is Exec. Dir. and has the following contact phone number (561) 571-0300.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 12/31/2014.


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 FacilityAL12548FLORIDAYes

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: 9/12/2021

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