Active NPI
Park of the Palms, Inc.
- Assisted Living Facility
- Keystone Heights, FL
National Provider Identifier
1124467675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.