Provider Demographics
NPI:1417674714
Name:840 SW 8TH LLC
Entity Type:Organization
Organization Name:840 SW 8TH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:DUARTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-409-0949
Mailing Address - Street 1:10001 W OAKLAND PARK BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6925
Mailing Address - Country:US
Mailing Address - Phone:855-331-6615
Mailing Address - Fax:
Practice Address - Street 1:840 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-8214
Practice Address - Country:US
Practice Address - Phone:855-331-6615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility