Organization · Type 2 NPI

Extended Care Portfolio Florida Tenant, LLC

Assisted Living Facility · Greenacres, FL

NPI number 1184062259 Active

Practice location

4760 S Jog Rd
Greenacres, FL 33467-5119

Mailing address

1775 Hancock St Ste 200
San Diego, CA 92110-2036

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XAL99 (FL)
Assisted Living Facility 310400000XAL9409 (FL)
Assisted Living Facility Primary 310400000XAL9666 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1184062259

Extended Care Portfolio Florida Tenant, LLC's National Provider Identifier is 1184062259, issued on Jun 11, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Greenacres, FL. The record was last updated on Sep 12, 2025.