Organization Active NPI

Continual Care Facility

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1043667421
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12783 Issued in FL
Legal business name
CONTINUAL CARE FACILITY
Practice address
9360 NW 20TH St
Pembroke Pines, FL 33024-3112
Phone
(954) 281-5079
NPI assigned
May 16, 2016
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Opal Bradshaw
Title
Owner
Phone
(954) 281-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12783 FL Primary

Addresses

Primary practice location

9360 NW 20TH St
Pembroke Pines, FL 33024-3112

Mailing address

9360 NW 20TH St
Pembroke Pines, FL 33024-3112
Phone (954) 281-5079

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1043667421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 NW 20TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243112",
            "telephone_number": "954-281-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 NW 20TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243112",
            "telephone_number": "954-281-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-281-5079"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.