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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Adult Care Home | 311ZA0620X |
| Registered Nurse | 163W00000X |
* Indicates primary specialty
| NPI Number | 1669046108 |
| Credentials | |
| Entity | Individual |
| Enumeration date | 05/19/2021 |
| Last updated | 05/14/2025 - More than a year ago |
| Sole proprietor1 | Yes |
| Identifiers |
|
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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