Indian River Center

LBN: Indian River Center, Llc
Indian River Center is an health care organization with primary practice located at 7201 Greenboro Dr , West Melbourne FL 32904-1698. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Indian River Center, Llc can be contacted via phone (321) 727-0990, or through Terrano, Monica via phone (819) 852-7000.

Contact Information

Primary practice address
7201 Greenboro Dr West Melbourne FL 32904-1698
Phone: (321) 727-0990
Fax: (321) 951-4553
Website:
Map and Directions
Authorized official contact:
Name: Terrano, Monica
Phone: (819) 852-7000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1348096 Florida

Profile Details

NPI number 1164410197
LBN Legal business name Indian River Center, Llc
DBA Doing business as Indian River Center
Authorized official Terrano, Monica
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 27th, 2024 - about 2 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 1164410197 NPPES
Michigan Other 08845 BLUE CROSS BLUE SHIELD MI
Michigan Other 70-00474 BLUE CROSS BLUE SHIELD MI
Michigan Other 0005900226 BLUE CROSS BLUE SHIELD MI
Michigan Other C105673 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 026066500 BLUE CROSS BLUE SHIELD MI
Michigan Other K3M BLUE CROSS BLUE SHIELD MI

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