Family Extended Care of Amelia Island, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9091 Issued in FL

Legal business name

FAMILY EXTENDED CARE OF AMELIA ISLAND, INC.

Practice address

2700 81RST Street West
Hialeah, FL 33016

Phone

(305) 728-1534

Fax

(305) 325-1313

NPI assigned

Dec 4, 2014

Organization subpart

No

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

Authorized official

Name

Linda Gluck, CPA

Title

Vice President

Phone

(305) 728-1534

Specialties & licenses 1

Addresses

Other names 1

• Jane Adams House Other name

Locations

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1053718130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 81ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162732",
            "telephone_number": "305-728-1534",
            "fax_number": "305-325-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 81RST STREET WEST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-728-1534",
            "fax_number": "305-325-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EXTENDED CARE OF AMELIA ISLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-728-1534",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jane Adams House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Family Behavior and Therapy Services LLC
• Family Care Alf Inc
• Family Care Behavior Services, LLC
• Family Care Medical Center II Inc
• Family Doctors Medical Center
• Family Health Care Corp
• Family Home Care Inc (the)
• Family Life Care Services
• Family Medical Group - HML
• Family Pharmacy & Discount, Inc.

• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 Dec 4, 2014; 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.