SOUTH FLORIDA COMPANION SERVICES NPI 1811030547

NPI Information

NPI: 1811030547
Provider Name: SOUTH FLORIDA COMPANION SERVICES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 10D2037702

Address:
1821 LYONS RD
SUITE 304
COCONUT CREEK, FL
ZIP 33063
Phone: (954) 675-9289
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SOUTH FLORIDA COMPANION SERVICES is an intermediate care facility mentally retarded in Coconut Creek, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SOUTH FLORIDA COMPANION SERVICES NPI is 1811030547. The provider is registered as an organization entity type.

The provider's business location address is:

1821 LYONS RD
SUITE 304
COCONUT CREEK, FL
ZIP 33063-603
Phone: (954) 675-9289
Fax: (954) 978-8782

The provider's authorized official is George Cole Philhower .
The authorized official title is Owner and has the following contact phone number (954) 675-9289.

The CLIA number assigned to this NPI record is 10D2037702 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities		229616	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: 5/5/2024

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