Y & G Enterprises,Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL4782 Issued in FL

Legal business name

Y & G ENTERPRISES,INC

Doing business as

Merriment Manor Retirement Home

Practice address

1835 Wilson St
Hollywood, FL 33020-2725

Phone

(954) 921-4059

Fax

(954) 921-4011

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Dorit Itzchaki

Title

Administrator - V/P

Phone

(954) 921-4059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Merriment Manor Retirement Home Doing business as

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1033525928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 WILSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202725",
            "telephone_number": "954-921-4059",
            "fax_number": "954-921-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 WILSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202725",
            "telephone_number": "954-921-4059",
            "fax_number": "954-921-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y & G ENTERPRISES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "ITZCHAKI",
        "authorized_official_first_name": "DORIT",
        "authorized_official_title_or_position": "ADMINISTRATOR - V/P",
        "authorized_official_telephone_number": "954-921-4059",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL4782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141113600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merriment Manor Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.