NPI 1629244629 AT HOME OF BREVARD, LLC. PALM BAY FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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At Home Of Brevard, Llc. - NPI: 1629244629

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: AT HOME OF BREVARD, LLC.
NPI Number: 1629244629
Entity Type Code: Organizational (2)
Authorized Official Name: MICHAEL JOSEPH CULLEN
(ADMINISTRATOR)
Mailing Address: 3116 Wendel Rd Se
Palm Bay
State: FL US
Postal Code: 329098469
Phone Number: 3219526623
Fax Number: 3219526624
NPI Enumeration Date: 04/30/2008
NPI Last Update Date: 04/30/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 310400000X
License Number: 10779
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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