SUSIES HOME LLC NPI 1700221959

NPI Information

  • NPI: 1700221959
  • Provider Name: SUSIES HOME LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUSIE'S HOME
  • Address: 28B KARAT PATH
    PALM COAST, FL
    ZIP 32164
  • Phone: (386) 437-3131

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NPI Details

SUSIES HOME LLC is an assisted living facility in Palm Coast, 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. SUSIES HOME LLC NPI is 1700221959. The provider is registered as an organization entity type.
The provider Is Doing Business As Susie's Home.

The provider's business location address is:

28B KARAT PATH
PALM COAST, FL
ZIP 32164-670
Phone: (386) 437-3131
Fax: (386) 437-3131

The provider's authorized official is Junichi Obama .
The authorized official title is Ceo and has the following contact phone number (386) 437-3131.

The enumeration date for this NPI number is 5/1/2013 and was last updated on 5/22/2013.

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 FacilityAL12354FLORIDAYes

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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