A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Nursing Care, Pediatric | 3140N1450X |
| Alzheimer Center /Dementia Center/Dementia Special Care Unit | 311500000X | |
| Custodial Care Facility | 311Z00000X |
* Indicates primary specialty
| NPI Number | 1134640998 |
| Credentials | SNF |
| Entity | Individual |
| Enumeration date | 07/03/2017 |
| Last updated | 03/17/2018 - About 8 years ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| 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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