Laurelwood Care, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

089304 Issued in FL

Legal business name

LAURELWOOD CARE, INC

Practice address

1903 Mercer Ave
Lehigh Acres, FL 33972-2903

Phone

(239) 337-3583

Fax

(239) 337-3583

NPI assigned

Jun 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shawn M Steiner

Title

Owner

Phone

(239) 822-4726

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1063672848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MERCER AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339722903",
            "telephone_number": "239-337-3583",
            "fax_number": "239-337-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MERCER AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339722903",
            "telephone_number": "239-337-3583",
            "fax_number": "239-337-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELWOOD CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-15",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "STEINER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-822-4726",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "089304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691888396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.