Organization Active NPI

Orchid Diversifeld Services Inc

  • Assisted Living Facility
  • Fort Lauderdale, FL
National Provider Identifier
1063846392
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11760 Issued in FL
Legal business name
ORCHID DIVERSIFELD SERVICES INC
Practice address
1700 NE 5TH St
Fort Lauderdale, FL 33301-1326
Phone
(954) 766-4961
Fax
(954) 766-4961
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mrs. Swaiby A Kerr Rolle
Title
Owner
Phone
(954) 650-2297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11760 FL Primary

Addresses

Primary practice location

1700 NE 5TH St
Fort Lauderdale, FL 33301-1326

Mailing address

1700 NE 5TH St
Fort Lauderdale, FL 33301-1326
Phone (954) 766-4961

Other names 1

  • Leisure Living of Victoria Park Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1063846392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NE 5TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011326",
            "telephone_number": "954-766-4961",
            "fax_number": "954-766-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NE 5TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011326",
            "telephone_number": "954-766-4961",
            "fax_number": "954-766-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID DIVERSIFELD SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "KERR ROLLE",
        "authorized_official_first_name": "SWAIBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-650-2297",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leisure Living of Victoria Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.