BRAYNE CONCEPTS NPI 1114198728

NPI Information

NPI: 1114198728
Provider Name: BRAYNE CONCEPTS

Doing Business As: BAJAN PROFESSIONAL GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2360 E 5TH ST
LEHIGH ACRES, FL
ZIP 33936
Phone: (239) 368-8833
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BRAYNE CONCEPTS is an intermediate care facility mentally retarded in Lehigh Acres, FL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BRAYNE CONCEPTS NPI is 1114198728. The provider is registered as an organization entity type.
The provider Is Doing Business As Bajan Professional Group Home.

The provider's business location address is:

2360 E 5TH ST
LEHIGH ACRES, FL
ZIP 33936-332
Phone: (239) 368-8833
Fax: (239) 368-8833

The provider's authorized official is Heather Maureen Holder .
The authorized official title is Arnp and has the following contact phone number (239) 368-8833.

The enumeration date for this NPI number is 3/23/2008 and was last updated on 6/14/2008.

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		089333	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	692003996	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: 5/5/2024

NPI Synchronization or Removal

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