Organization Active NPI

Shangri-la at Lockmar Alf LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1063265999
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHANGRI-LA AT LOCKMAR ALF LLC
Practice address
817 Nevada Dr NE
Palm Bay, FL 32907-1479
Phone
(321) 327-7806
Fax
(321) 327-7927
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Mr. Ernest Roger Lapointe
Title
Alt. Administrator
Phone
(321) 507-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

817 Nevada Dr NE
Palm Bay, FL 32907-1479

Mailing address

132 Ascend Cir Unit 9103
West Melbourne, FL 32904-8751
Phone (321) 507-8722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1063265999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ASCEND CIR UNIT 9103",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048751",
            "telephone_number": "321-507-8722",
            "fax_number": "321-821-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 NEVADA DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071479",
            "telephone_number": "321-327-7806",
            "fax_number": "321-327-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA AT LOCKMAR ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "LAPOINTE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "321-507-8722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.