Atlantic Shore Retirement Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL0005954 Issued in FL

Legal business name

ATLANTIC SHORE RETIREMENT RESIDENCE

Practice address

1500 N Riverside Dr
Pompano Beach, FL 33062-3310

Phone

(954) 941-7974

Fax

(954) 942-2896

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Alina Zembron

Title

Owner/Administrator

Phone

(954) 941-7974

Specialties & licenses 1

Addresses

Tax ID family

Atlantic Shore Retirement Residence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lib, Inc.

  • Assisted Living Facility
  • Pompano Beach, FL
  • NPI 1295934008
  NPD tax ID

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1003188491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N RIVERSIDE DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623310",
            "telephone_number": "954-941-7974",
            "fax_number": "954-942-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N RIVERSIDE DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623310",
            "telephone_number": "954-941-7974",
            "fax_number": "954-942-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SHORE RETIREMENT RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "ZEMBRON",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-941-7974"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL0005954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Pompano Beach, FL
• Providers in Pompano 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 Feb 1, 2012; 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.