Prestige Place Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12968 Issued in FL

Legal business name

PRESTIGE PLACE ALF LLC

Practice address

256 Barbarossa Rd NW
Palm Bay, FL 32907-1809

Phone

(321) 724-6040

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Bobsilyn Duncan

Title

Owner/Administrator

Phone

(321) 724-6040

Specialties & licenses 1

Addresses

Tax ID family

Prestige Place Alf LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige Place Alf LLC

  • Assisted Living Facility
  • Palm Bay, FL
  • NPI 1962139493
  NPD tax ID

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1083155568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BARBAROSSA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BARBAROSSA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071809",
            "telephone_number": "321-724-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PLACE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BOBSILYN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-724-6040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Anne Pospisil, LMHC
• Pinkesh B Prajapati, M.D.
• Precision Care Services LLC
• Gillian Press
• Theotis Pressley
• Prestige Place Alf LLC
• Nadine Price
• Prime Movers Rehab, Inc.
• Coralie Prince, RN
• Sharma Jo Privett

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, 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 Mar 16, 2017; 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.