BREVARD ALZHEIMER'S FOUNDATION INC. NPI 1174795454

NPI Information

NPI: 1174795454
Provider Name: BREVARD ALZHEIMER'S FOUNDATION, INC.

Doing Business As: YOURCARE BREVARD

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
4676 N WICKHAM RD
MELBOURNE, FL
ZIP 32935
Phone: (321) 253-4430
Get Directions

BREVARD ALZHEIMER'S FOUNDATION, INC. is an adult day care clinic center in Melbourne, FL. BREVARD ALZHEIMER'S FOUNDATION, INC. NPI is 1174795454. The provider is registered as an organization entity type.
The provider Is Doing Business As Yourcare Brevard.

The provider's business location address is:

4676 N WICKHAM RD
MELBOURNE, FL
ZIP 32935-103
Phone: (321) 253-4430
Fax: (321) 757-6971

The provider's authorized official is Timothy Victor Timmermann .
The authorized official title is Executive Director and has the following contact phone number (321) 253-4430.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 7/19/2022.

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	302R00000X	Health Maintenance Organization				No
2	261QA0600X	Clinic/Center	Adult Day Care			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	010751300	MEDICAID	FLORIDA
2	015080100	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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