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SUNRISE IV BOCA CIEGA SL LLC NPI 1215138839


NPI Information

NPI: 1215138839
Provider Name: SUNRISE IV BOCA CIEGA SL, LLC

Other Name: INN AT THE FOUNTAINS (THE)

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D0935737

Address:
1255 PASADENA AVE S
SOUTH PASADENA, FL
ZIP 33707
Phone: (800) 388-1984
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SUNRISE IV BOCA CIEGA SL, LLC is an assisted living facility in South Pasadena, 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. SUNRISE IV BOCA CIEGA SL, LLC NPI is 1215138839. The provider is registered as an organization entity type.
The provider Other Name Is Inn At The Fountains (the).

The provider's business location address is:

1255 PASADENA AVE S
SOUTH PASADENA, FL
ZIP 33707-203
Phone: (800) 388-1984

The provider's authorized official is James Kobrick .
The authorized official title is Executive Director and has the following contact phone number (800) 388-1984.

The CLIA number assigned to this NPI record is 10D0935737 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.


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
1310400000XAssisted Living FacilityAL83FLORIDAYes

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

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