Active NPI
Versailles at Coral Springs, Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Coral Springs, FL
National Provider Identifier
1104022375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.