WEST DONEGAN AVE ALF OPCO LLC; NPI #1487333654

Contact Information

WEST DONEGAN AVE ALF OPCO LLC

1092 W DONEGAN AVE
KISSIMMEE, FL 34741-2218

Phone: 407-846-8520
Fax: 407-944-4808
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for WEST DONEGAN AVE ALF OPCO LLC

NPI Number	`1487333654`
LBN Legal business name	WEST DONEGAN AVE ALF OPCO LLC
Authorized official	NATHAN FREUND - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/14/2023
Last updated	04/09/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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