NPI 1013274091 GOOD SHEPHERD ASSISTED LIVING FACILITY OF BRANDON LLC BRANDON FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Good Shepherd Assisted Living Facility Of Brandon Llc - NPI: 1013274091

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: GOOD SHEPHERD ASSISTED LIVING FACILITY OF BRANDON LLC
NPI Number: 1013274091
Entity Type Code: Organizational (2)
Authorized Official Name: THELMA LLANTO MANAGAD
(ADMINISTRATOR)
Mailing Address: 1801 Lido Drive
Brandon
State: FL US
Postal Code: 33511
Phone Number: 8136844989
Fax Number: 8136844989
NPI Enumeration Date: 04/16/2012
NPI Last Update Date: 04/16/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 310400000X
License Number: AL9000
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Nursing & Custodial Care Facilities
Taxonomy Classification: Assisted Living Facility
Taxonomy Specialization:
Taxonomy Definition:
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.


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