Emerald Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMERALD MANOR LLC

Practice address

12221 W Dixie Hwy
North Miami, FL 33161-5427

Phone

(914) 548-7617

Fax

(914) 633-1620

NPI assigned

Dec 27, 2017

Organization subpart

Yes

Parent organization

REGAL HEALTHCARE ALF HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Steven Bicky

Title

Manager

Phone

(914) 548-7617

Specialties & licenses 1

Addresses

Other names 1

• Emerald Place LLC Doing business as

Part of

Regal Healthcare Alf Holdings LLC

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1114433232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 REGAL DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041202",
            "telephone_number": "914-548-7617",
            "fax_number": "914-633-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615427",
            "telephone_number": "914-548-7617",
            "fax_number": "914-633-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD MANOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGAL HEALTHCARE ALF HOLDINGS LLC",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "BICKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-548-7617"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Place LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in North Miami, FL
• Providers in North Miami, 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 Dec 27, 2017; 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.