Provider Demographics
NPI:1740829787
Name:SILVERSTONE PBG OPERATING, LLC
Entity type:Organization
Organization Name:SILVERSTONE PBG OPERATING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO FOR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-492-5002
Mailing Address - Street 1:958 20TH PL FL 2
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6420
Mailing Address - Country:US
Mailing Address - Phone:772-492-5002
Mailing Address - Fax:772-492-5005
Practice Address - Street 1:3000 CENTRAL GARDENS CIR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-8700
Practice Address - Country:US
Practice Address - Phone:561-536-5519
Practice Address - Fax:561-536-5528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-21
Last Update Date:2019-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility