Emmanuel Care Assisted Living Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11412 Issued in FL

Legal business name

EMMANUEL CARE ASSISTED LIVING FACILITY, INC.

Practice address

3628 Daisy Ave
Palm Beach Gardens, FL 33410-4713

Phone

(561) 627-3674

Fax

(561) 799-5196

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Leitha A Sanders, LPN

Title

Administrator

Phone

(561) 627-3674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1093058075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 DAISY AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104713",
            "telephone_number": "561-627-3674",
            "fax_number": "561-799-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 DAISY AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104713",
            "telephone_number": "561-627-3674",
            "fax_number": "561-799-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL CARE ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LEITHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-627-3674",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 28, 2013; 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.