HEARTLAND OF TAMARAC FL LLC
Assisted Living Facility
Tamarac, Florida
Provider NPI: 1295782530
Organization Information:Organization Name: HEARTLAND OF TAMARAC FL LLC
Practice Location:
5901 NW 79TH AVE TAMARAC, FL 33321 US
Tel: 954-722-7001 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:
5901 NW 79TH AVE TAMARAC, FL 33321 US
Tel: 954-722-7001 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF12150962 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
032535000 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin