Organization Active NPI

Ellie's Alf of Ocala

  • Assisted Living Facility (Mental Illness)
  • Ocala, FL
National Provider Identifier
1053884940
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
ELLIE'S ALF OF OCALA
Practice address
1840 SW 31St Ave
Ocala, FL 34474-2904
Phone
(352) 854-7171
NPI assigned
Jan 3, 2019
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Gena Ackbersingh
Title
Administrator
Phone
(954) 881-3703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary

Addresses

Primary practice location

1840 SW 31St Ave
Ocala, FL 34474-2904

Mailing address

1840 SW 31St Ave
Ocala, FL 34474-2904
Phone (352) 854-7171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1053884940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SW 31ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742904",
            "telephone_number": "352-854-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SW 31ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742904",
            "telephone_number": "352-854-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE'S ALF OF OCALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "ACKBERSINGH",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-881-3703"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.