Gonzalez Adult Care Facilities LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GONZALEZ ADULT CARE FACILITIES LLC

Practice address

228 Date Palm Dr
Lake Park, FL 33403-3407

Phone

(561) 720-2953

Fax

(561) 228-0581

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Yoannery C Gonzalez

Title

Owner/Admin.

Phone

(561) 246-2080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1033838834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 DATE PALM DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033407",
            "telephone_number": "561-720-2953",
            "fax_number": "561-228-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 DATE PALM DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033407",
            "telephone_number": "561-720-2953",
            "fax_number": "561-228-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ ADULT CARE FACILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YOANNERY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ADMIN.",
        "authorized_official_telephone_number": "561-246-2080"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "13736",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lake Park, FL
• Providers in Lake Park, 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 Aug 24, 2022; 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.