Hidden Pines Assisted Living Facility

LBN: Hidden Pines Assisted Living Facility
Hidden Pines Assisted Living Facility is an health care organization with primary practice located at 1840 Sw 31St Avenue , Ocala FL 34474. 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. Hidden Pines Assisted Living Facility can be contacted via phone (352) 854-7171, or through Medina, Dale via phone (352) 854-7171.

Contact Information

Primary practice address
1840 Sw 31St Avenue Ocala FL 34474
Fax: (352) 854-1981
Website:
Authorized official contact:
Name: Medina, Dale

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL5055 Florida

Profile Details

NPI number 1902115959
LBN Legal business name Hidden Pines Assisted Living Facility
DBA Doing business as
Authorized official Medina, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2010
Last updated Sep 24th, 2010 - about 16 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 1902115959 NPPES
Florida MEDICAID 140415600

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