Provider Demographics
NPI:1962837351
Name:TAYLORS ADULT HOME CARE INC,
Entity Type:Organization
Organization Name:TAYLORS ADULT HOME CARE INC,
Other - Org Name:TAYLORSADULT HOME CARE AT WELLINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:N
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-792-7880
Mailing Address - Street 1:12450 GUILFORD WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4969
Mailing Address - Country:US
Mailing Address - Phone:561-792-7880
Mailing Address - Fax:561-792-7882
Practice Address - Street 1:12450 GUILFORD WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4969
Practice Address - Country:US
Practice Address - Phone:561-792-7880
Practice Address - Fax:561-792-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11565310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL11565OtherASSISTED LIVING FACILITY