Provider Demographics
NPI:1275891210
Name:PIPERS GROUP HOME ASSOCIATION
Entity Type:Organization
Organization Name:PIPERS GROUP HOME ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-964-7448
Mailing Address - Street 1:7781 BILTMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5825
Mailing Address - Country:US
Mailing Address - Phone:954-964-7448
Mailing Address - Fax:
Practice Address - Street 1:7781 BILTMORE BLVD
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5825
Practice Address - Country:US
Practice Address - Phone:954-964-7448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL39965029311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home