MEDICARE: ORCHID GARDEN ALF

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	310400000X	Assisted Living Facility	AL10683	FL

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	:	1093157182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORCHID GARDEN ALF

Provider Business Mailing Address
First Line	:	403 SW 74TH AVE
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-1432
Country	:	US
Telephone Number	:	954-720-1317
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 SW 74TH AVE
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-1432
Country	:	US
Telephone Number	:	954-720-1317
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CASSILDA EVANS
Credential	:
Telephone Number	:	954-629-4581

Provider Enumeration Date	:	07/18/2013
Last Update Date	:	07/18/2013

Similar Medicare Providers

1760212484 — JOSHUA HUDSON
Practice Location Address:

421 SW 74TH AVE
NORTH LAUDERDALE, FL
33068-1432

Practice Phone: 954-870-8269
Practice Fax:

1265371777 — PRUDENT NURSING CARE LLC
Practice Location Address:

419 SW 74TH AVE
NORTH LAUDERDALE, FL
33068-1432

Practice Phone: 954-588-2479
Practice Fax:

1467622860 — DEBORAH ANNE ORIHUELA LMT
Practice Location Address:

1432 NE 2ND AVE
FORT LAUDERDALE, FL
33304-1022

Practice Phone: 954-600-7246
Practice Fax:

1902270572 — HECTOR RUBIO
Practice Location Address:

1432 NE 13TH AVE
FORT LAUDERDALE, FL
33304-1337

Practice Phone: 954-801-3768
Practice Fax:

1851893168 — DR. GEORGE WILLIAM CAMPBELL III DC
Practice Location Address:

1586 N FEDERAL HWY
FORT LAUDERDALE, FL
33304-1432

Practice Phone: 716-228-8516
Practice Fax:

1467781898 — OMEGA HOME CARE AGENCY
Practice Location Address:

213 E NORTH ST
WARSAW, NC
28398-1432

Practice Phone: 910-293-4613
Practice Fax: 910-293-7425

Directions to “ORCHID GARDEN ALF ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.