Active NPI
Parkside Memory Care LLC
- Assisted Living Facility
- Tamarac, FL
National Provider Identifier
1003640228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PARKSIDE MEMORY CARE LLC
- Practice address
- 7501 NW 76TH Street
Tamarac, FL 33321 - Phone
- (786) 295-5914
- Fax
- (561) 734-6101
- NPI assigned
- Aug 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Seema S Lakhani, RN
- Title
- Exceutive Director
- Phone
- (786) 295-5914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7501 NW 76TH Street
Tamarac, FL 33321
Mailing address
7501 NW 76TH Street
Tamarac, FL 33321
Phone (786) 295-5914
Other names 1
- PARKSIDE TAMARAC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2316584 | Parkside Memory Care LLC Dba | Certificate of waiver | Jan 7, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1003640228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 NW 76TH STREET",
"city": "TAMARAC",
"state": "FL",
"postal_code": "33321",
"telephone_number": "786-295-5914",
"fax_number": "561-734-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 NW 76TH STREET",
"city": "TAMARAC",
"state": "FL",
"postal_code": "33321",
"telephone_number": "786-295-5914",
"fax_number": "561-734-6101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKSIDE MEMORY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "LAKHANI",
"authorized_official_first_name": "SEEMA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "EXCEUTIVE DIRECTOR",
"authorized_official_telephone_number": "786-295-5914",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PARKSIDE TAMARAC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.