ESC NEW PORT RICHEY, LLC
Alzheimer Center
New Port Richey, Florida
Provider NPI: 1104046622
Organization Information:Organization Name: ESC NEW PORT RICHEY, LLC
Practice Location:
6400 TROUBLE CREEK RD NEW PORT RICHEY, FL 34653 US
Tel: 727-847-2980 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:
6400 TROUBLE CREEK RD NEW PORT RICHEY, FL 34653 US
Tel: 727-847-2980 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | ||
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0111603-00 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin