MEDICARE: HOUSING PARTNERSHIP, INC.

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
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1790356731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSING PARTNERSHIP, INC.

Provider Business Mailing Address
First Line	:	2001 W BLUE HERON BLVD
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-5003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 N CONGRESS AVE STE 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3221
Country	:	US
Telephone Number	:	561-841-3500
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	JENNIFER CRANE
Credential	:
Telephone Number	:	561-841-3500

Provider Enumeration Date	:	07/09/2021
Last Update Date	:	07/09/2021

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