Active NPI
Senior Living Properties V, LLC
Doing business as Savannah Cove
- Skilled Nursing Facility
- West Palm Beach, FL
National Provider Identifier
1013920495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 16290951
- Legal business name
- SENIOR LIVING PROPERTIES V, LLC
- Doing business as
- Savannah Cove
- Practice address
- 2090 N Congress Ave
West Palm Beach, FL 33401-8210 - Phone
- (561) 686-5100
- NPI assigned
- Aug 15, 2006
- 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
- Uri Rubin
- Title
- Managing Partner
- Phone
- (954) 691-1030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 16290951 | FL | Primary |
Addresses
Primary practice location
2090 N Congress Ave
West Palm Beach, FL 33401-8210
Mailing address
4661 Johnson Road
Suite #7
Coconut Creek, FL 33073
Phone (954) 691-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031231200 | Medicaid | FL |
Other names 1
- Savannah Cove
National Provider Directory
National Provider DirectoryLocations
4661 Johnson Rd
Unit 7
Coconut Creek, FL 33073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234915200000",
"number": "1013920495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4661 JOHNSON ROAD",
"address_2": "SUITE #7",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "33073",
"telephone_number": "954-691-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 N CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334018210",
"telephone_number": "561-686-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR LIVING PROPERTIES V, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2009-02-18",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "URI",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "954-691-1030"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "16290951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031231200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Savannah Cove",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.