ANDREA MARTIN HOME INC NPI 1588968937

NPI Information

NPI: 1588968937
Provider Name: ANDREA MARTIN HOME, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
17851 SW 11TH CT
PEMBROKE PINES, FL
ZIP 33029
Phone: (786) 718-4560
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ANDREA MARTIN HOME, INC is an assisted living facility in Pembroke Pines, 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. ANDREA MARTIN HOME, INC NPI is 1588968937. The provider is registered as an organization entity type.

The provider's business location address is:

17851 SW 11TH CT
PEMBROKE PINES, FL
ZIP 33029-412
Phone: (786) 718-4560

The provider's authorized official is Ruby Edith Farje .
The authorized official title is Owner and has the following contact phone number (786) 718-4560.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/28/2010.

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
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	AL11900	FLORIDA	No
2	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	AL11900	FLORIDA	No
3	310400000X	Assisted Living Facility		AL11900	FLORIDA	Yes

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

NPI Synchronization or Removal

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