Imperial Club LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IMPERIAL CLUB LP

Practice address

2751 NE 183Rd St
Aventura, FL 33160-2160

Phone

(305) 935-1801

NPI assigned

Sep 20, 2020

Organization subpart

No

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

Authorized official

Name

David Vondenberger

Title

Manager

Phone

(754) 225-5438

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600560000000",
    "number": "1114533601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 RIDGE LAKE BLVD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209475",
            "telephone_number": "754-225-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NE 183RD ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602160",
            "telephone_number": "305-935-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL CLUB LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A",
        "authorized_official_last_name": "VONDENBERGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-225-5438"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalys Iglesias
• Michele Marie Iguina, M.D.
• Dan Ilkovitch, MD, PHD
• Immaculate Careers LLC
• Julie Imperatori, PA-C
• Infinite Health FL LLC
• Infinite Personal Possibilities
• Infinite Personal Possibilities, Inc.
• Inner Connections Therapeutic Services, LLC
• Innovative Medical Research of South Florida

• Assisted Living Facility in Aventura, FL
• Providers in Aventura, 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 Sep 20, 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.