Ymp Seaside Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

YMP SEASIDE OPCO LLC

Practice address

2091 S Ocean Dr
Hallandale Beach, FL 33009-6645

Phone

(954) 607-1000

NPI assigned

Jun 29, 2021

Organization subpart

Yes

Parent organization

YMP SEASIDE OPCO LLCAs reported in NPPES

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

Authorized official

Name

Mr. Samuel Potter

Title

President

Phone

(508) 958-7251

Specialties & licenses 1

Addresses

Other names 1

• Seaside Hallandale Beach Senior Living Doing business as

Part of

Ymp Seaside Opco LLC

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1114597309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N STATE ROAD 7 STE 100",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195868",
            "telephone_number": "516-521-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 S OCEAN DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096645",
            "telephone_number": "954-607-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMP SEASIDE OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YMP SEASIDE OPCO LLC",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-958-7251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaside Hallandale Beach Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Hallandale Beach, FL
• Providers in Hallandale Beach, 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 Jun 29, 2021; 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.