Organization Active NPI

Cherry Oak Palm Beach County, LLC

  • Assisted Living Facility
  • Lantana, FL
National Provider Identifier
1104471564
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHERRY OAK PALM BEACH COUNTY, LLC
Practice address
6026 Old Congress Rd
Lantana, FL 33462-2430
Phone
(561) 966-3232
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Anne Agostini
Title
Manager
Phone
(954) 655-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6026 Old Congress Rd
Lantana, FL 33462-2430

Mailing address

9057 NW 57TH St
Tamarac, FL 33351-4305

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2197518Cherry Oak Palm Beach County6026 Old Congress Rd, Lantana, FL 33462Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1104471564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9057 NW 57TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333514305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 OLD CONGRESS RD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622430",
            "telephone_number": "561-966-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY OAK PALM BEACH COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "AGOSTINI",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-655-1067"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.