Active NPI
Assisted Living of Broward
- Assisted Living Facility
- Pembroke Pines, FL
National Provider Identifier
1104127315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 10186
- Legal business name
- ASSISTED LIVING OF BROWARD
- Practice address
- 17646 SW 10 Street
Pembroke Pines, FL 33029 - Phone
- (954) 538-9061
- NPI assigned
- Nov 4, 2010
- 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
- Sahi Navpreet
- Title
- Owner/Administrator
- Phone
- (954) 538-9061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 10186 | FL | Primary |
Addresses
Primary practice location
17646 SW 10 Street
Pembroke Pines, FL 33029
Mailing address
17646 SW 10 Street
Pembroke Pines, FL 33029
Phone (954) 538-9061
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1104127315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17646 SW 10 STREET",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-538-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17646 SW 10 STREET",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-538-9061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTED LIVING OF BROWARD",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "NAVPREET",
"authorized_official_first_name": "SAHI",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "954-538-9061"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "10186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.