Organization Active NPI

Pines Retirement Residence, Inc.

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1053619544
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11447 Issued in FL
Legal business name
PINES RETIREMENT RESIDENCE, INC.
Practice address
7740 NW 1St St
Pembroke Pines, FL 33024-6966
Phone
(754) 244-1296
Fax
(954) 430-9438
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Mrs. Julia Giordano
Title
Administrator/Owner
Phone
(754) 244-1296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11447 FL Primary

Addresses

Primary practice location

7740 NW 1St St
Pembroke Pines, FL 33024-6966

Mailing address

2327 NW 190TH Ave
Pembroke Pines, FL 33029-5317
Phone (754) 244-1296

Other identifiers 1

IdentifierTypeStateIssuer
002801700OtherFLTREATING PROVIDER FOR MANAGED CARE PLAN FOR AMERIGROUP FLORIDA INC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1053619544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 NW 190TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295317",
            "telephone_number": "754-244-1296",
            "fax_number": "954-430-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 NW 1ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246966",
            "telephone_number": "754-244-1296",
            "fax_number": "954-430-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES RETIREMENT RESIDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "754-244-1296",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TREATING PROVIDER FOR MANAGED CARE PLAN FOR AMERIGROUP FLORIDA INC",
            "identifier": "002801700",
            "state": "FL"
        }
    ],
    "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 Mar 7, 2011; 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.