Raydiant Health Care Of Brandon
LBN: Brandon Facility Operations Llc
Raydiant Health Care Of Brandon is an health care organization with primary practice located at 701 Victoria St , Brandon FL 33510-4100. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Brandon Facility Operations Llc can be contacted via phone (813) 681-4220, or through Ussery, Kenneth via phone (407) 571-1550.
Contact Information
Primary practice address
701 Victoria St
Brandon FL 33510-4100
Phone: (813) 681-4220
Fax: (813) 689-5685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | SNF1577096 | Florida |
Profile Details
| NPI number | 1780606715 |
|---|---|
| LBN Legal business name | Brandon Facility Operations Llc |
| DBA Doing business as | Raydiant Health Care Of Brandon |
| Authorized official | Ussery, Kenneth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Dec 22nd, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780606715 | NPPES |
| Florida | MEDICAID | 008037700 |
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