Organization Active NPI

Holy Garden Alf, Inc

  • Assisted Living Facility
  • Hollywood, FL
National Provider Identifier
1124452883
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12110 Issued in FL
Legal business name
HOLY GARDEN ALF, INC
Practice address
2904 N 36TH Ave
Hollywood, FL 33021-1391
Phone
(954) 961-6005
Fax
(954) 362-9377
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Maria Lupulescu
Title
Administrator
Phone
(965) 961-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12110 FL Primary

Addresses

Primary practice location

2904 N 36TH Ave
Hollywood, FL 33021-1391

Mailing address

2904 N 36TH Ave
Hollywood, FL 33021-1391
Phone (954) 961-6005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1124452883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 N 36TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211391",
            "telephone_number": "954-961-6005",
            "fax_number": "954-362-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 N 36TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211391",
            "telephone_number": "954-961-6005",
            "fax_number": "954-362-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY GARDEN ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "LUPULESCU",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "965-961-6005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.