Amber Lake Assisted Living

LBN: Grand Fortune Group
Amber Lake Assisted Living is an health care organization with primary practice located at 2411 Fortune Rd , Kissimmee FL 34744-3964. 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. Grand Fortune Group can be contacted via phone (407) 348-6100, or through Bartolo, Jonathan via phone (407) 348-6100.

Contact Information

Primary practice address
2411 Fortune Rd Kissimmee FL 34744-3964
Phone: (407) 348-6100
Fax: (407) 348-0031
Website:
Map and Directions
Authorized official contact:
Name: Bartolo, Jonathan
Phone: (407) 348-6100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL7215 Florida

Profile Details

NPI number 1295032829
LBN Legal business name Grand Fortune Group
DBA Doing business as Amber Lake Assisted Living
Authorized official Bartolo, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2011
Last updated Feb 17th, 2011 - about 15 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 1295032829 NPPES
Florida MEDICAID 140952200

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