HIDDEN PINES RETIREMENT CENTER INC. NPI 1649578832

NPI Information

NPI: 1649578832
Provider Name: HIDDEN PINES RETIREMENT CENTER, INC.

Former Legal Business Name: DALE MEDINA D/B/A HIDDEN PINES ASSISTED LIVING FACILITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1840 SW 31ST AVE
OCALA, FL
ZIP 34474
Phone: (352) 854-7171
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HIDDEN PINES RETIREMENT CENTER, INC. is an assisted living facility in Ocala, 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. HIDDEN PINES RETIREMENT CENTER, INC. NPI is 1649578832. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dale Medina D/b/a Hidden Pines Assisted Living Facility.

The provider's business location address is:

1840 SW 31ST AVE
OCALA, FL
ZIP 34474-904
Phone: (352) 854-7171
Fax: (352) 854-1981

The provider's authorized official is Dale Elaine Medina .
The authorized official title is Administrator and has the following contact phone number (352) 854-7171.

The enumeration date for this NPI number is 3/11/2011 and was last updated on 3/11/2011.

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	310400000X	Assisted Living Facility		AL5505	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	140415600	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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