Devindale Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11247 Issued in FL

Legal business name

DEVINDALE INC

Practice address

6 Zodiacal PL
Palm Coast, FL 32164-5811

Phone

(386) 313-3359

Fax

(386) 437-9973

NPI assigned

Sep 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Elaine Buck, REGISTERED NURSE

Title

Administrator

Phone

(386) 313-3359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1073763074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ZODIACAL PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645811",
            "telephone_number": "386-313-3359",
            "fax_number": "386-437-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ZODIACAL PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645811",
            "telephone_number": "386-313-3359",
            "fax_number": "386-437-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-313-3359",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.