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Colleen Adult Family Care Home
Adult Care Home Facility in Winter Haven, Florida
NPI 1538608930

Colleen Adult Family Care Home is an Adult Care Home Facility based in Winter Haven, FL and is specialized in Adult Care Home. Colleen Adult Family Care Home practices in Winter Haven, FL. The NPI Number for Colleen Adult Family Care Home is 1538608930 and holds a License No. 6906156 (Florida).

The current practice location address for Colleen Adult Family Care Home is 5615 Royal Hills St, Winter Haven, FL and can be reached out via phone at 863-307-1298.

Location: 5615 Royal Hills St, Winter Haven, FL, 33881-7703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538608930
Provider Name
Colleen Adult Family Care Home
Credential
Provider Entity Type
Organization
Address
5615 Royal Hills St, Winter Haven, FL, 33881-7703
Phone Number
863-307-1298
Fax Number
Provider Enumeration Date
02/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
143074200 05 FL
institution
Provider Business Practice Location Address Details
Address
5615 Royal Hills St
City
Winter Haven
State
Florida
Zip
33881-7703
Phone Number
863-307-1298
Fax Number
person
Provider Business Mailing Address Details
Address
5615 Royal Hills St
City
Winter Haven
State
Florida
Zip
33881-7703
Phone Number
863-307-1298
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
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Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906156 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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