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ALLEGIANCE PROPERTIES 1 INC NPI 1548428816


NPI Information

NPI: 1548428816
Provider Name: ALLEGIANCE PROPERTIES 1 INC

Doing Business As: EASTBROOKE GARDENS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
201 N SUNSET DR
CASSELBERRY, FL
ZIP 32707
Phone: (407) 699-5002
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ALLEGIANCE PROPERTIES 1 INC is an assisted living facility in Casselberry, 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. ALLEGIANCE PROPERTIES 1 INC NPI is 1548428816. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastbrooke Gardens.

The provider's business location address is:

201 N SUNSET DR
CASSELBERRY, FL
ZIP 32707-947
Phone: (407) 699-5002

The provider's authorized official is Douglas Matthew Klinowski .
The authorized official title is Vice President and has the following contact phone number (407) 699-5002.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.


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 FacilityAL5355FLORIDAYes

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
1686580100MEDICAIDFLORIDA

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: 4/28/2024

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