St Pauls Place

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST PAULS PLACE

Practice address

5400 Plunkett St
Hollywood, FL 33021-8025

Phone

(786) 427-5258

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Ebony Pace Crawford

Title

VP

Phone

(954) 962-2622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1124461710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 PLUNKETT ST",
            "address_2": "STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218024",
            "telephone_number": "786-427-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 PLUNKETT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218025",
            "telephone_number": "786-427-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAULS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "PACE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-962-2622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, 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 Apr 12, 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.