Active NPI
Balmy Beach Alf of Florida Inc
Doing business as Balmy Beach Retirement Home
- Assisted Living Facility
- Apopka, FL
National Provider Identifier
1083030522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL8705
- Legal business name
- BALMY BEACH ALF OF FLORIDA INC
- Doing business as
- Balmy Beach Retirement Home
- Practice address
- 1030 Balmy Beach Dr
Apopka, FL 32703-5902 - Phone
- (407) 405-1047
- Fax
- (407) 322-8226
- NPI assigned
- Mar 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan M. Duazo
- Title
- Vice President
- Phone
- 40734051047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL8705 | FL | Primary |
Addresses
Primary practice location
1030 Balmy Beach Dr
Apopka, FL 32703-5902
Mailing address
849 Wood Briar Loop
Sanford, FL 32771-5434
Phone (407) 405-1047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL8705 | Other | FL | AHCA |
Other names 1
- BALMY BEACH RETIREMENT HOME
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1083030522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 WOOD BRIAR LOOP",
"city": "SANFORD",
"state": "FL",
"postal_code": "327715434",
"telephone_number": "407-405-1047",
"fax_number": "407-322-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 BALMY BEACH DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035902",
"telephone_number": "407-405-1047",
"fax_number": "407-322-8226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALMY BEACH ALF OF FLORIDA INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "DUAZO",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "40734051047"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL8705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "AL8705",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BALMY BEACH RETIREMENT HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.