SUNCOAST NEW OPTIONS SPRING STREET LLC NPI 1871175513

NPI Information

NPI: 1871175513
Provider Name: SUNCOAST NEW OPTIONS SPRING STREET, LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
930 SW SPRING LN
LAKE CITY, FL
ZIP 32025
Phone: (919) 390-2980
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SUNCOAST NEW OPTIONS SPRING STREET, LLC is an intermediate care facility mentally retarded in Lake City, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SUNCOAST NEW OPTIONS SPRING STREET, LLC NPI is 1871175513. The provider is registered as an organization entity type.

The provider's business location address is:

930 SW SPRING LN
LAKE CITY, FL
ZIP 32025-082
Phone: (919) 390-2980

The provider's authorized official is Mary Johns Benson .
The authorized official title is Director Of Billing and has the following contact phone number (336) 553-5946.

The enumeration date for this NPI number is 4/22/2021 and was last updated on 4/22/2021.

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				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

NPI Synchronization or Removal

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