2595 Harbor Blvd LLC
Assisted Living Facility in Port Charlotte, Florida
1124775242- Practice location
- 2595 Harbor Blvd, Port Charlotte, FL 33952-6732
- Phone
- 941-769-9100
- Fax
- —
- Last updated
- November 15, 2022
2595 Harbor Blvd LLC is a healthcare organization based in Port Charlotte, FL. 2595 Harbor Blvd LLC practices in Port Charlotte, FL. The NPI Number for 2595 Harbor Blvd LLC is 1124775242. The current practice location address for 2595 Harbor Blvd LLC is 2595 Harbor Blvd, Port Charlotte, FL 33952-6732 and can be reached out via phone at 941-769-9100.
Provider Profile Details
- NPI Number
- 1124775242
- Provider Name
- 2595 Harbor Blvd LLC
- Provider Entity Type
- Organization
- Address
- 2595 Harbor Blvd, Port Charlotte, FL 33952-6732
- Phone Number
- 941-769-9100
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- No
- Authorized Official
- Josh Rosen · Manager · 469-619-5372
- Provider Enumeration Date
- March 8, 2022
- Last Update Date
- November 15, 2022
- Certification Date
- November 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2595 Harbor Blvd
Port Charlotte, FL 33952-6732 - City
- Port Charlotte
- State
- Florida
- Zip
- 33952-6732
- Phone Number
- 941-769-9100
Provider Business Mailing Address Details
- Address
- 5307 E Mockingbird Ln Ste 575
Dallas, TX 75206-5109 - City
- Dallas
- State
- TX
- Zip
- 75206-5109
- Phone Number
- 469-619-5372
License Information
- Taxonomy
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Assisted Living Facility providers near Port Charlotte, FL
View all Assisted Living Facility providers in Port Charlotte →Frequently Asked Questions
What is the NPI number of 2595 Harbor Blvd LLC?
The NPI number of 2595 Harbor Blvd LLC is 1124775242. It was assigned on March 8, 2022 and is currently active in the NPPES registry.
What is the specialty of 2595 Harbor Blvd LLC?
2595 Harbor Blvd LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).
Where does 2595 Harbor Blvd LLC practice?
The practice location is 2595 Harbor Blvd, Port Charlotte, FL 33952-6732. The office can be reached at 941-769-9100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124775242 directly on the NPPES registry website.