Providence Home

LBN: Providence Home
Providence Home is an health care organization with primary practice located at 8544 Park Highland Dr , Orlando FL 32818-5770. 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. Providence Home can be contacted via phone (407) 953-5657, or through Lawrence-Pokima, Veronica via phone (407) 953-5657.

Contact Information

Primary practice address
8544 Park Highland Dr Orlando FL 32818-5770
Phone: (407) 953-5657
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lawrence-Pokima, Veronica
Phone: (407) 953-5657

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10413 Florida

Profile Details

NPI number 1639333495
LBN Legal business name Providence Home
DBA Doing business as
Authorized official Lawrence-Pokima, Veronica
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 18 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 1639333495 NPPES
Florida MEDICAID 687327800

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