Park Regency Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7249 Issued in FL

Legal business name

PARK REGENCY OPERATOR LLC

Doing business as

Courtyards at Inverrary

Practice address

2801 NW 55TH Ave
Lauderhill, FL 33313-2509

Phone

(954) 484-1960

Fax

(954) 484-1994

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Linda K. Horvath

Title

Administrator

Phone

(954) 484-1969

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Courtyards at Inverrary Doing business as

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1083884779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 55TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132509",
            "telephone_number": "954-484-1960",
            "fax_number": "954-484-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 55TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132509",
            "telephone_number": "954-484-1960",
            "fax_number": "954-484-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK REGENCY OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-484-1969"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004033100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyards at Inverrary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordana Lauren Pachter
• Pacifica Lauderhill LLC (Forest Trace Senior Living)
• Maria Graciela Padron de Michel, RBT
• Dahlia L Palmer
• Lona De Theodosia Palmero, LMT
• Shequilia Parker, MEDICAL ASSISTANT
• Marta C Parra
• Sharon Denise Parry, RN
• Jennifer Pastoriza Morejon, RBT
• Naresh Pathak, MD

• Assisted Living Facility in Lauderhill, FL
• Providers in Lauderhill, 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 Feb 21, 2012; 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.