Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FLORIDA SENIOR HOUSING COUNCIL INC
Active
Organization
FLORIDA SENIOR HOUSING COUNCIL INC
Active
Other names
Hidden Acres Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
904 HIDDEN ACRES AVENUE, MT. PLEASENT, TN 38474-1039
(931) 379-5502
(931) 379-5504
Mailing address
925 N POINT PKWY, SUITE 440, ALPHARETTA, GA 30005-5210
(770) 619-0866
(770) 870-2892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000181
TN
332BN1400X
Nursing Facility Supplies (DME)
651
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445374
—
TN
05
—
7440341
—
TN
Enumeration date
07/07/2006
Last updated
03/16/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers