Organization Active NPI

Zion'S Assisted Living Facility, Inc.

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1023351996
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11719 Issued in FL
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

Updated by the provider on Mar 29, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.