South Oaks Assisted Living Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5855 Issued in FL

Legal business name

SOUTH OAKS ASSISTED LIVING HOME LLC

Practice address

6141 SW 34TH St
Miramar, FL 33023-5129

Phone

(954) 983-7996

Fax

(954) 391-9627

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bernard Everton Thomas

Title

Owner

Phone

(954) 983-7996

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1104260637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SW 34TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235129",
            "telephone_number": "954-983-7996",
            "fax_number": "954-391-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SW 34TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235129",
            "telephone_number": "954-983-7996",
            "fax_number": "954-391-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OAKS ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "EVERTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-983-7996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5855",
            "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 Apr 26, 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.