Active NPIOrganization

2595 Harbor Blvd LLC

Assisted Living Facility in Port Charlotte, Florida

NPI Number1124775242
Practice location
2595 Harbor Blvd, Port Charlotte, FL 33952-6732
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
State
Florida
Zip
33952-6732
Phone Number
941-769-9100
Port Charlotte, FL 33952Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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