Intergrated Living Communities of WPB, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

8091 Issued in FL

Legal business name

INTERGRATED LIVING COMMUNITIES OF WPB, LLC

Practice address

2939 S Haverhill Rd
West Palm Beach, FL 33415-8118

Phone

(561) 963-8963

Fax

(561) 963-8966

NPI assigned

Apr 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Winsome McLeod

Title

Executive Director

Phone

(561) 963-8963

Specialties & licenses 1

Addresses

Other names 1

• Herons Run Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1003059460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S HAVERHILL RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158118",
            "telephone_number": "561-963-8963",
            "fax_number": "561-963-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 S HAVERHILL RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158118",
            "telephone_number": "561-963-8963",
            "fax_number": "561-963-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGRATED LIVING COMMUNITIES OF WPB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "WINSOME",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-963-8963",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herons Run",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.