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NPI Code Detail

MEDICARE: BGI RETIREMENT LLC

MEDICARE: BGI RETIREMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598045320
Entity Type Code : Organization
Provider Name (Legal Business Name) : BGI RETIREMENT LLC
Provider Business Mailing Address
First Line : 4700 SHERIDAN ST
Second Line : SUITE B
City : HOLLYWOOD
State : FL
Zip : 33021-3420
Country : US
Telephone Number : 954-367-4563
Fax Number : 954-367-4564
Provider Business Practice Location Address
First Line : 1755 18TH ST
Second Line :
City : SARASOTA
State : FL
Zip : 34234-8657
Country : US
Telephone Number : 941-955-4915
Fax Number : 954-367-4564
Authorized Official
Title or Position : CFO
Name : MRS. MARGARET HUDSON FERNANDEZ
Credential :
Telephone Number : 954-367-4563
Provider Enumeration Date : 08/24/2011
Last Update Date : 08/24/2011

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Directions to “BGI RETIREMENT LLC ” Practice Location

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