Healthcare Provider Details

I. General information

NPI: 1417662164
Provider Name (Legal Business Name): AURORA GARDEN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6716 CONGRESS ST
NEW PORT RICHEY FL
34653-2845
US

IV. Provider business mailing address

6716 CONGRESS ST
NEW PORT RICHEY FL
34653-2845
US

V. Phone/Fax

Practice location:
  • Phone: 727-203-3776
  • Fax:
Mailing address:
  • Phone: 727-203-3776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MRS. HAIFA HARB
Title or Position: OWNER
Credential:
Phone: 727-278-9458