Palm Manor Inc (the)

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10177 Issued in FL

Legal business name

PALM MANOR INC (THE)

Practice address

6609 SW 20TH St
Miramar, FL 33023-2148

Phone

(954) 682-9848

Fax

(305) 225-1289

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Donette Henry

Title

Owner

Phone

(954) 682-9848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104037787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 SW 20TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232148",
            "telephone_number": "954-682-9848",
            "fax_number": "305-225-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 SW 20TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232148",
            "telephone_number": "954-682-9848",
            "fax_number": "305-225-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MANOR INC (THE)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-682-9848"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miramar, FL
• Providers in Miramar, 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 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.