Organization Active NPI

Touch of Klass Alf Inc

  • Assisted Living Facility
  • Plantation, FL
National Provider Identifier
1063846657
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11583 Issued in FL
Legal business name
TOUCH OF KLASS ALF INC
Practice address
560 SW 60TH Ave
Plantation, FL 33317-3948
Phone
(954) 583-7799
Fax
(954) 587-0432
NPI assigned
Aug 30, 2013
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Angella B Pitterson, CNA
Title
Administrator
Phone
(954) 583-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11583 FL Primary

Addresses

Primary practice location

560 SW 60TH Ave
Plantation, FL 33317-3948

Mailing address

560 SW 60TH Ave
Plantation, FL 33317-3948
Phone (954) 583-7799

Other identifiers 1

IdentifierTypeStateIssuer
001870200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1063846657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SW 60TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173948",
            "telephone_number": "954-583-7799",
            "fax_number": "954-587-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SW 60TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173948",
            "telephone_number": "954-583-7799",
            "fax_number": "954-587-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCH OF KLASS ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "PITTERSON",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-583-7799",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001870200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.