TOTAL CARE MANOR INC NPI 1871745265

NPI Information

  • NPI: 1871745265
  • Provider Name: TOTAL CARE MANOR, INC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Doing Business As: HORIZON ALF
  • Address: 1490 NW 21 STREET
    FORT LAUDERDALE, FL
    ZIP 33311
  • Phone: (954) 523-1543

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NPI Details

TOTAL CARE MANOR, INC is an assisted living and mental illness assisted living facility in Fort Lauderdale, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. TOTAL CARE MANOR, INC NPI is 1871745265. The provider is registered as an organization entity type.
The provider Is Doing Business As Horizon Alf.

The provider's business location address is:

1490 NW 21 STREET
FORT LAUDERDALE, FL
ZIP 33311
Phone: (954) 523-1543
Fax: (954) 527-0505

The provider's authorized official is Jason Kissoonlal .
The authorized official title is President and has the following contact phone number (954) 523-1543.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 8/26/2020.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL8595FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1141923400MEDICAIDFLORIDA

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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