Organization Active NPI

Wyndham House Alf,LLC

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1043692502
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 63 Issued in FL
Legal business name
WYNDHAM HOUSE ALF,LLC
Practice address
417 Westwood Rd
West Palm Beach, FL 33401-7933
Phone
(561) 832-6545
Fax
(561) 832-6507
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Mr. Jorge A Hernando
Title
Owner/Administrator
Phone
(561) 932-9262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 63 FL Primary

Addresses

Primary practice location

417 Westwood Rd
West Palm Beach, FL 33401-7933

Mailing address

417 Westwood Rd
West Palm Beach, FL 33401-7933
Phone (561) 832-6545

Other names 1

  • Wyndham House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1043692502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 WESTWOOD RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017933",
            "telephone_number": "561-832-6545",
            "fax_number": "561-832-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 WESTWOOD RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017933",
            "telephone_number": "561-832-6545",
            "fax_number": "561-832-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNDHAM HOUSE ALF,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-932-9262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyndham House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.