Organization Active NPI

Lulu'S Boarding Home, Inc.

  • Assisted Living Facility
  • Ft Lauderdale, FL
National Provider Identifier
1083826820
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL68 Issued in FL
Legal business name
LULU'S BOARDING HOME, INC.
Practice address
2720 SW 6TH CT
Ft Lauderdale, FL 33312-2139
Phone
(954) 587-6526
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mrs. Noemi Rodriguez
Title
President
Phone
(954) 587-6526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL68 FL Primary

Addresses

Primary practice location

2720 SW 6TH CT
Ft Lauderdale, FL 33312-2139

Mailing address

2720 SW 6TH CT
Ft Lauderdale, FL 33312-2139
Phone (954) 587-6526

Other identifiers 1

IdentifierTypeStateIssuer
236078OtherFLPROVIDER ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1083826820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SW 6TH CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122139",
            "telephone_number": "954-587-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SW 6TH CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122139",
            "telephone_number": "954-587-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LULU'S BOARDING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-587-6526",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL68",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "236078",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.