Organization Active NPI

Park of the Palms, Inc.

  • Assisted Living Facility
  • Keystone Heights, FL
National Provider Identifier
1124467675
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PARK OF THE PALMS, INC.
Practice address
677 Hebron Ave
Keystone Heights, FL 32656-9577
Phone
(352) 473-6100
Fax
(352) 473-6113
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Mrs. Catherine M. Milligan
Title
Administrator
Phone
(352) 473-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

677 Hebron Ave
Keystone Heights, FL 32656-9577

Mailing address

677 Hebron Ave
Keystone Heights, FL 32656-9577
Phone (352) 473-6100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1124467675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 HEBRON AVE",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569577",
            "telephone_number": "352-473-6100",
            "fax_number": "352-473-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 HEBRON AVE",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569577",
            "telephone_number": "352-473-6100",
            "fax_number": "352-473-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK OF THE PALMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-473-6100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keystone Heights, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.