1275719346 NPI number — ALLINONE CARE, INC

Table of content: (NPI 1275719346)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275719346 NPI number — ALLINONE CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLINONE CARE, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BEL AIR HOUSE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275719346
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15836 LYLE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUDSON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34667-4005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-862-6703
Provider Business Mailing Address Fax Number:
727-264-8924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5550 RIVER RD
Provider Second Line Business Practice Location Address:
BEL AIR HOUSE
Provider Business Practice Location Address City Name:
NEW PORT RICHEY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34652-3743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-845-1100
Provider Business Practice Location Address Fax Number:
727-264-8924
Provider Enumeration Date:
01/18/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
REEVES
Authorized Official First Name:
LESLIE
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
727-845-1100

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  682106596 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320900000X , with the licence number: 682106596 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 385H00000X , with the licence number: 682106596 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 015478600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 682106596 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".