Active NPI
Prestigious Assited Living LLC Dba Parkside Inn
- Assisted Living Facility
- Boynton Beach, FL
National Provider Identifier
1033555099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 1059
- 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, 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
- Seema S Lakhani, RN
- Title
- Managing Menber
- Phone
- (561) 734-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0982425 | Parkside Inn | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.