Assisted Living of Palm Beach Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11205 Issued in FL

Legal business name

ASSISTED LIVING OF PALM BEACH GARDENS

Practice address

9239 W Highland Pines Dr
Palm Beach Gardens, FL 33418-5756

Phone

(561) 691-8630

Fax

(561) 691-8631

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Sanders

Title

President

Phone

(561) 718-2201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1073789186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 W HIGHLAND PINES DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185756",
            "telephone_number": "561-691-8630",
            "fax_number": "561-691-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W HIGHLAND PINES DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185756",
            "telephone_number": "561-691-8630",
            "fax_number": "561-691-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING OF PALM BEACH GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-718-2201"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Palm Beach Gardens, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.