1215659107 NPI number — HIBISCUS PALACE NORTH PALM LLC

Table of content: (NPI 1215659107)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215659107 NPI number — HIBISCUS PALACE NORTH PALM LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HIBISCUS PALACE NORTH PALM LLC
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:
Provider Other Organization Name Type Code:
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:
1215659107
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7181 VIA LEONARDO
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE WORTH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33467-5236
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-385-2532
Provider Business Mailing Address Fax Number:
561-375-5889

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 CASTLEWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH PALM BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33408-5601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-822-3806
Provider Business Practice Location Address Fax Number:
561-375-5889
Provider Enumeration Date:
09/16/2022

Additional Information

Authorized Official

Authorized Official Last Name:
MATTIS
Authorized Official First Name:
ANDREA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
561-385-2532

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 115609500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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