Organization Active NPI

Hibiscus by-the-Sea of South Florida, Inc.

Doing business as Country Retreat

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1063615086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6618 Issued in FL
Legal business name
HIBISCUS BY-THE-SEA OF SOUTH FLORIDA, INC.
Doing business as
Country Retreat
Practice address
7357 Wilson Rd
West Palm Beach, FL 33413-2240
Phone
(561) 683-7877
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph A LupoNPI 1770864274
Title
Manager
Phone
(561) 502-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL6618 FL Primary

Addresses

Primary practice location

7357 Wilson Rd
West Palm Beach, FL 33413-2240

Mailing address

PO Box 540369
Lake Worth, FL 33454-0369

Other names 1

  • COUNTRY RETREAT Doing business as

National Provider Directory

National Provider Directory

Locations

7357 Wilson Rd
West Palm Beach, FL 33413
Phone (561) 475-2180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063615086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540369",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334540369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7357 WILSON RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334132240",
            "telephone_number": "561-683-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS BY-THE-SEA OF SOUTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUPO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-502-2200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTRY RETREAT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.