Organization Active NPI

Victoria Gardens Home Alf Inc

  • Assisted Living Facility (Mental Illness)
  • Lauderdale Lakes, FL
National Provider Identifier
1013577600
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
VICTORIA GARDENS HOME ALF INC
Practice address
3091 NW 43Rd St
Lauderdale Lakes, FL 33309-4310
Phone
(786) 262-7386
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Terrence Dancykier
Title
Owner
Phone
(786) 262-7386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

3091 NW 43Rd St
Lauderdale Lakes, FL 33309-4310

Mailing address

3091 NW 43Rd St
Lauderdale Lakes, FL 33309-4310
Phone (786) 262-7386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1013577600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 NW 43RD ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333094310",
            "telephone_number": "786-262-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 NW 43RD ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333094310",
            "telephone_number": "786-262-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA GARDENS HOME ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "DANCYKIER",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-262-7386"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.