Organization Active NPI

Prestigious Assited Living LLC Dba Parkside Inn

  • Assisted Living Facility
  • Boynton Beach, FL
National Provider Identifier
1033555099
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1059 Issued in FL
Legal business name
PRESTIGIOUS ASSITED LIVING LLC DBA PARKSIDE INN
Practice address
1613 SW 3Rd St
Boynton Beach, FL 33435-6601
Phone
(561) 734-1616
NPI assigned
May 17, 2013
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Seema S Lakhani, RN
Title
Managing Menber
Phone
(561) 734-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1059 FL Primary

Addresses

Primary practice location

1613 SW 3Rd St
Boynton Beach, FL 33435-6601

Mailing address

1613 SW 3Rd St
Boynton Beach, FL 33435-6601
Phone (561) 734-1616

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0982425Parkside Inn1613 SW 3Rd Street, Boynton Beach, FL 33435Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1033555099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SW 3RD ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356601",
            "telephone_number": "561-734-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 SW 3RD ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356601",
            "telephone_number": "561-734-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS ASSITED LIVING LLC DBA PARKSIDE INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "LAKHANI",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MENBER",
        "authorized_official_telephone_number": "561-734-1616",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.