EMERITUS PROPERTIES NGH, LLC
Alzheimer Center
Melbourne, Florida
Provider NPI: 1992832018
Organization Information:Organization Name: EMERITUS PROPERTIES NGH, LLC
Practice Location:
1765 WEST HIBISCUS BLVD MELBOURNE, FL 32901 US
Tel: 321-733-7111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1765 WEST HIBISCUS BLVD MELBOURNE, FL 32901 US
Tel: 321-733-7111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | 9396 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | FL | 9396 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL9396 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
06852327-00 | FL | 05 | |
685232700 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin