WOLTER ELSA H NPI 1639542582

NPI Information

  • NPI: 1639542582
  • Provider Name: WOLTER ELSA H
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: THE HACIENDA HOUSE LLC
  • Address: 19390 POWELL RD
    BROOKSVILLE, FL
    ZIP 34604
  • Phone: (352) 799-9943

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NPI Details

WOLTER ELSA H is an adult care home custodial care facility in Brooksville, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. WOLTER ELSA H NPI is 1639542582. The provider is registered as an organization entity type.
The provider Is Doing Business As The Hacienda House Llc.

The provider's business location address is:

19390 POWELL RD
BROOKSVILLE, FL
ZIP 34604-057
Phone: (352) 799-9943

The provider's authorized official is Elsa H Wolter .
The authorized official title is Administrator/owner and has the following contact phone number (352) 799-9943.

The enumeration date for this NPI number is 11/1/2015 and was last updated on 11/1/2015.

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
1311ZA0620XCustodial Care FacilityAdult Care Home6906810FLORIDAYes

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: 11/21/2025

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