Evening Tide Of Brevard, Llc

LBN: Evening Tide Of Brevard, Llc
Evening Tide Of Brevard, Llc is an health care organization with primary practice located at 100 N Orlando Ave , Cocoa Beach FL 32931-2915. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Evening Tide Of Brevard, Llc can be contacted via phone (321) 613-4569, or through Tracy, Steven Douglas via phone (435) 760-4091.

Contact Information

Primary practice address
100 N Orlando Ave Cocoa Beach FL 32931-2915
Phone: (321) 613-4569
Fax: (321) 613-0217
Website:
Map and Directions
Authorized official contact:
Name: Tracy, Steven Douglas NA
Phone: (435) 760-4091

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1184087694
LBN Legal business name Evening Tide Of Brevard, Llc
DBA Doing business as
Authorized official Tracy, Steven Douglas NA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2016
Last updated Apr 1st, 2016 - about 10 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.

Request for update

Popular Providers