Organization Active NPI

Balmy Beach Alf of Florida Inc

Doing business as Balmy Beach Retirement Home

  • Assisted Living Facility
  • Apopka, FL
National Provider Identifier
1083030522
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8705 Issued in FL
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

Updated by the provider on Mar 7, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AL8705OtherFLAHCA

Other names 1

  • BALMY BEACH RETIREMENT HOME 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": "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.

Verify at the official NPI Registry.