Marryshow House

LBN: Community Access Service
Marryshow House is an health care organization with primary practice located at 2141 Nw 63Rd Ave , Sunrise FL 33313-2915. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Community Access Service can be contacted via phone (954) 234-2364, or through Richardson, Nea Duncan via phone (954) 234-2364.

Contact Information

Primary practice address
2141 Nw 63Rd Ave Sunrise FL 33313-2915
Fax: (954) 234-2595
Website:
Authorized official contact:
Name: Richardson, Nea Duncan

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 12115 Florida

Profile Details

NPI number 1679802722
LBN Legal business name Community Access Service
DBA Doing business as Marryshow House
Authorized official Richardson, Nea Duncan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2009
Last updated Feb 25th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679802722 NPPES
Florida MEDICAID 006136900
Florida MEDICAID 111190100

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