Your Home Group Home Llc

LBN: Your Home Group Home Llc
Your Home Group Home Llc is an health care organization with primary practice located at 331 Fulton St , Daytona Beach FL 32114-3021. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Your Home Group Home Llc can be contacted via phone (321) 295-1695, or through Goff, Corinda via phone (321) 295-1695.

Contact Information

Primary practice address
331 Fulton St Daytona Beach FL 32114-3021
Phone: (321) 295-1695
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goff, Corinda BS
Phone: (321) 295-1695

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1235019613
LBN Legal business name Your Home Group Home Llc
DBA Doing business as
Authorized official Goff, Corinda BS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2025
Last updated Sep 5th, 2025 - about last year

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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