Lanier Manor

LBN: Northern Jacksonville Enterprise, Llc
Lanier Manor is an health care organization with primary practice located at 12740 Lanier Rd , Jacksonville FL 32226-1704. 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. Northern Jacksonville Enterprise, Llc can be contacted via phone (904) 757-0600, or through Robaina, Nelson via phone (305) 864-9191.

Contact Information

Primary practice address
12740 Lanier Rd Jacksonville FL 32226-1704
Phone: (904) 757-0600
Fax: (904) 757-7047
Website:
Map and Directions
Authorized official contact:
Name: Robaina, Nelson
Phone: (305) 864-9191

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF12880962 Florida

Profile Details

NPI number 1952396269
LBN Legal business name Northern Jacksonville Enterprise, Llc
DBA Doing business as Lanier Manor
Authorized official Robaina, Nelson
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2005
Last updated May 21st, 2009 - about 17 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 1952396269 NPPES
Florida MEDICAID 022889300
Florida MEDICAID 0-268-003-00

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