Organization Active NPI

Versailles at Coral Springs, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Coral Springs, FL
National Provider Identifier
1104022375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
17661
Legal business name
VERSAILLES AT CORAL SPRINGS, INC
Practice address
9425 W. Sample Rd
Coral Springs, FL 33065
Phone
(954) 227-3886
Fax
(954) 227-3003
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Romane Bernagene Sr.
Title
Owner
Phone
(954) 227-3886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 17661 Primary

Addresses

Primary practice location

9425 W. Sample Rd
Coral Springs, FL 33065

Mailing address

9425 W Sample Rd
Coral Springs, FL 33065-4102
Phone (954) 227-3886

National Provider Directory

National Provider Directory

Locations

9425 W Sample Rd
Coral Springs, FL 33065
Phone (954) 227-3886

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104022375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654102",
            "telephone_number": "954-227-3886",
            "fax_number": "954-227-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 W. SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-227-3886",
            "fax_number": "954-227-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSAILLES AT CORAL SPRINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNAGENE",
        "authorized_official_first_name": "ROMANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-227-3886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": "17661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.