Provider Demographics
NPI:1992045868
Name:R&R LLC
Entity Type:Organization
Organization Name:R&R LLC
Other - Org Name:WELLINGTON ELDER CARE 1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-389-3503
Mailing Address - Street 1:14097 LILY CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8631
Mailing Address - Country:US
Mailing Address - Phone:561-389-3503
Mailing Address - Fax:561-795-7009
Practice Address - Street 1:1953 S CLUB DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9092
Practice Address - Country:US
Practice Address - Phone:561-389-3503
Practice Address - Fax:561-795-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11795310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility