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HOME SWEET HOME ALF NPI 1497189898


NPI Information

NPI: 1497189898
Provider Name: HOME SWEET HOME ALF
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6981 COOLIDGE ST
HOLLYWOOD, FL
ZIP 33024
Phone: (954) 692-4236
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HOME SWEET HOME ALF is an assisted living facility in Hollywood, 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. HOME SWEET HOME ALF NPI is 1497189898. The provider is registered as an organization entity type.

The provider's business location address is:

6981 COOLIDGE ST
HOLLYWOOD, FL
ZIP 33024-817
Phone: (954) 692-4236
Fax: (954) 964-5511

The provider's authorized official is Joan M Simpson .
The authorized official title is Administrator and has the following contact phone number (954) 692-4236.

The enumeration date for this NPI number is 8/21/2013 and was last updated on 8/21/2013.


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 License Number License State Primary
1310400000XAssisted Living FacilityAL11301FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007359000MEDICAIDFLORIDA

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

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