I & G Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11032 Issued in FL

Legal business name

I & G ASSISTED LIVING FACILITY

Practice address

6560 Harbour Rd
North Lauderdale, FL 33068-3838

Phone

(754) 234-4357

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Imogene Johnson

Title

Owner

Phone

(754) 234-4357

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1003119686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 HARBOUR RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683838",
            "telephone_number": "754-234-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 HARBOUR RD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683838",
            "telephone_number": "754-234-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I & G ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "IMOGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-234-4357"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA",
            "identifier": "AL11032",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in North Lauderdale, FL
• Providers in North Lauderdale, 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 Dec 21, 2010; 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.