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SALEM HOMES OF FLORIDA INC. NPI 1548696768


NPI Information

NPI: 1548696768
Provider Name: SALEM HOMES OF FLORIDA, INC.

Doing Business As: SUFFRIDGE DRIVE GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 10D2104561

Address:
27566 SUFFRIDGE DR
BONITA SPRINGS, FL
ZIP 34135
Phone: (352) 372-0130
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SALEM HOMES OF FLORIDA, INC. is an intermediate care facility mentally retarded in Bonita Springs, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SALEM HOMES OF FLORIDA, INC. NPI is 1548696768. The provider is registered as an organization entity type.
The provider Is Doing Business As Suffridge Drive Group Home.

The provider's business location address is:

27566 SUFFRIDGE DR
BONITA SPRINGS, FL
ZIP 34135-527
Phone: (352) 372-0130

The provider's authorized official is Deena G. Ombres .
The authorized official title is Assoc. Gen. Counsel/privacy Officer and has the following contact phone number (502) 394-2100.

The CLIA number assigned to this NPI record is 10D2104561 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2013 and was last updated on 9/19/2013.


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
1315P00000XIntermediate Care Facility, Intellectual Disabilities4077096FLORIDAYes

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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