Ileana'S Care Home Inc

LBN: Ileana'S Care Home Inc
Ileana'S Care Home Inc is an health care organization with primary practice located at 6401 W Clifton St , Tampa FL 33634-5010. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Ileana'S Care Home Inc can be contacted via phone (201) 741-5460, or through Bermudez, Ileana via phone (201) 741-5460.

Contact Information

Primary practice address
6401 W Clifton St Tampa FL 33634-5010
Phone: (201) 741-5460
Fax: (813) 559-7301
Website:
Map and Directions
Authorized official contact:
Name: Bermudez, Ileana
Phone: (201) 741-5460

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1902559289
LBN Legal business name Ileana'S Care Home Inc
DBA Doing business as
Authorized official Bermudez, Ileana
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 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 1902559289 NPPES
Florida MEDICAID 022857600

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