PRIORITY LIFE SERVICES CORP NPI 1699802207

NPI Information

NPI: 1699802207
Provider Name: PRIORITY LIFE SERVICES, CORP
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
707 S 19TH AVE APT 6
HOLLYWOOD, FL
ZIP 33020
Phone: (954) 921-8062
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PRIORITY LIFE SERVICES, CORP is an intermediate care facility mental illness in Hollywood, FL. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. PRIORITY LIFE SERVICES, CORP NPI is 1699802207. The provider is registered as an organization entity type.

The provider's business location address is:

707 S 19TH AVE APT 6
HOLLYWOOD, FL
ZIP 33020-400
Phone: (954) 921-8062
Fax: (954) 929-2994

The provider's authorized official is Susana Isabel Biondini .
The authorized official title is President and has the following contact phone number (305) 303-7169.

The enumeration date for this NPI number is 2/28/2007 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
1	310500000X	Intermediate Care Facility, Mental Illness		229831	FLORIDA	Yes
2	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	229831	FLORIDA	X
3	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	229831	FLORIDA	X

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	229831	OTHER	FLORIDA	HOME MAKER AND COMPANION

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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