HOME AWAY FROM HOME NPI 1972906063

NPI Information

NPI: 1972906063
Provider Name: HOME AWAY FROM HOME
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
324 LYMAN PL
WEST PALM BEACH, FL
ZIP 33409
Phone: (561) 719-9138
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HOME AWAY FROM HOME is an assisted living facility in West Palm Beach, 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. HOME AWAY FROM HOME NPI is 1972906063. The provider is registered as an organization entity type.

The provider's business location address is:

324 LYMAN PL
WEST PALM BEACH, FL
ZIP 33409-651
Phone: (561) 719-9138
Fax: (561) 682-1209

The provider's authorized official is Trinetta C. Taylor .
The authorized official title is Owner/administrator and has the following contact phone number (561) 719-9138.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 10/2/2014.

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	310400000X	Assisted Living Facility		11913	FLORIDA	Yes

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
1	141935800	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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