Organization Active NPI

Parkside Memory Care LLC

  • Assisted Living Facility
  • Tamarac, FL
National Provider Identifier
1003640228
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Oct 29, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2316584Parkside Memory Care LLC Dba7501 NW 76TH Street, Tamarac, FL 33321Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.