Provider Demographics
NPI:1386314060
Name:HELEN HOMES OF WESTON DEVELOPMENT, LLC
Entity type:Organization
Organization Name:HELEN HOMES OF WESTON DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-236-8101
Mailing Address - Street 1:16025 EMERALD ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-6130
Mailing Address - Country:US
Mailing Address - Phone:954-217-2000
Mailing Address - Fax:
Practice Address - Street 1:16025 EMERALD ESTATES DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-6130
Practice Address - Country:US
Practice Address - Phone:954-217-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility