Organization Active NPI

Somh Boca Raton Operating, LLC

  • Assisted Living Facility
  • Boca Raton, FL
National Provider Identifier
1114527744
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SOMH BOCA RATON OPERATING, LLC
Practice address
21865 Ponderosa Dr
Boca Raton, FL 33428-6215
Phone
(561) 571-7018
Fax
(561) 482-5033
NPI assigned
Nov 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Authorized official

Name
Mr. Henry James Vaughn
Title
Reimbursement Analyst
Phone
(240) 595-6025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

21865 Ponderosa Dr
Boca Raton, FL 33428-6215

Mailing address

21865 Ponderosa Dr
Boca Raton, FL 33428-6215
Phone (561) 571-7018

Other names 1

  • The Meridian at Boca Raton Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1114527744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21865 PONDEROSA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286215",
            "telephone_number": "561-571-7018",
            "fax_number": "561-482-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21865 PONDEROSA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286215",
            "telephone_number": "561-571-7018",
            "fax_number": "561-482-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMH BOCA RATON OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meridian at Boca Raton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.