Organization Active NPI

Everlasting Family Home Care Service II

  • Assisted Living Facility
  • Royal Palm Beach, FL
National Provider Identifier
1053837203
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL13045 Issued in FL
Legal business name
EVERLASTING FAMILY HOME CARE SERVICE II
Practice address
197 Ponce de Leon St
Royal Palm Beach, FL 33411-1234
Phone
(561) 907-6956
Fax
(561) 513-9365
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Duvenson Jeandenis
Title
Administrator
Phone
(561) 907-6956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL13045 FL Primary

Addresses

Primary practice location

197 Ponce de Leon St
Royal Palm Beach, FL 33411-1234

Mailing address

197 Ponce de Leon St
Royal Palm Beach, FL 33411-1234
Phone (561) 907-6956

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053837203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 PONCE DE LEON ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111234",
            "telephone_number": "561-907-6956",
            "fax_number": "561-513-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PONCE DE LEON ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111234",
            "telephone_number": "561-907-6956",
            "fax_number": "561-513-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING FAMILY HOME CARE SERVICE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JEANDENIS",
        "authorized_official_first_name": "DUVENSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-907-6956"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.