Active NPI
Zion'S Assisted Living Facility, Inc.
- Assisted Living Facility
- Palm Bay, FL
National Provider Identifier
1023351996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11719
- Legal business name
- ZION'S ASSISTED LIVING FACILITY, INC.
- Practice address
- 2029 Jupiter Blvd SW
Palm Bay, FL 32908 - Phone
- (321) 727-8811
- NPI assigned
- Mar 29, 2013
- 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
- Sheron Patricia Whyne
- Title
- Administrator
- Phone
- (321) 727-8811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL11719 | FL | Primary |
Addresses
Primary practice location
2029 Jupiter Blvd SW
Palm Bay, FL 32908
Mailing address
2029 Jupiter Blvd SW
Palm Bay, FL 32908-3330
Phone (321) 727-8811
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364515200000",
"number": "1023351996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 JUPITER BLVD SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329083330",
"telephone_number": "321-727-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 JUPITER BLVD SW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32908",
"telephone_number": "321-727-8811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZION'S ASSISTED LIVING FACILITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A",
"authorized_official_last_name": "WHYNE",
"authorized_official_first_name": "SHERON",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "321-727-8811"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL11719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.