YOUR HOME ASSISTED LIVING LLC; NPI #1073489159

Contact Information

YOUR HOME ASSISTED LIVING LLC

2005 W AIRPORT BLVD
SANFORD, FL 32771-4035

Phone: 407-314-6599
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long-Term Care	364SL0600X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for YOUR HOME ASSISTED LIVING LLC

NPI #	`1073489159`
LBN Legal business name	YOUR HOME ASSISTED LIVING LLC
Authorized official	NIKIA WILLIAMS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/15/2025
Last updated	10/15/2025 - About 8 months 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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YOUR HOME ASSISTED LIVING LLC

Contact Information

Specialty

Long-Term Care

NPI Profile & details for YOUR HOME ASSISTED LIVING LLC

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