Florida Senior Housing Council Inc
Organization Active NPI Skilled Nursing Facility · Mt. Pleasent, TN
NPI 1023040425 · NPPES record last updated Mar 16, 2009
Key facts
- NPI
- 1023040425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0000000181 (TN)
- Legal business name
- FLORIDA SENIOR HOUSING COUNCIL INC
- Practice address
- 904 Hidden Acres Avenue
Mt. Pleasent, TN 38474-1039 - Phone
- (931) 379-5502
- Fax
- (931) 379-5504
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Douglas K Mittleider
- Title
- President
- Phone
- (770) 619-0866
National Provider Directory
Locations
1020 Pine St
Humboldt, KS 66748
Phone (620) 473-2393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000181 | TN | Yes |
| Nursing Facility Supplies (DME) | 332BN1400X | 651 | GA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 651 | GA |
Addresses
Primary practice location
904 Hidden Acres Avenue
Mt. Pleasent, TN 38474-1039
Mailing address
925 N Point Pkwy
Suite 440
Alpharetta, GA 30005-5210
Phone (770) 619-0866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445374 | Medicaid | TN | |
| 7440341 | Medicaid | TN |
Other names
- Hidden Acres Health Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.