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Contact Information

5901 NW 79TH AVENUE OPERATIONS, LLC
5901 NW 79TH AVE
TAMARAC, FL33321
 Phone: 407-571-1550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for 5901 NW 79TH AVENUE OPERATIONS, LLC

NPI # 1366936197
LBN Legal business name 5901 NW 79TH AVENUE OPERATIONS, LLC
Authorized official MIRIAM PASTOR - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2018
Last updated 09/13/2024 - More than a year ago
Identifiers
FL Medicaid 100298200
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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