Organization Active NPI

NGM & Sons, LLC

Doing business as Dolphin House, ALF

  • Assisted Living Facility
  • Seminole, FL
National Provider Identifier
1124649793
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NGM & SONS, LLC
Doing business as
Dolphin House, ALF
Practice address
9670 134TH St
Seminole, FL 33776-1447
Phone
(727) 596-3266
Fax
(727) 754-7670
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Mr. Armando E Mora Jr.
Title
Administrative Officer
Phone
(727) 251-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9670 134TH St
Seminole, FL 33776-1447

Mailing address

9670 134TH St
Seminole, FL 33776-1447
Phone (727) 596-3266

Other identifiers 1

IdentifierTypeStateIssuer
104316800MedicaidFL

Other names 1

  • Dolphin House, ALF Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Seminole

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1124649793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 134TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337761447",
            "telephone_number": "727-596-3266",
            "fax_number": "727-754-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 134TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337761447",
            "telephone_number": "727-596-3266",
            "fax_number": "727-754-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGM & SONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "727-251-8291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104316800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Seminole",
            "affiliation": "N",
            "address_1": "9670 134th St",
            "city": "Seminole",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337761447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dolphin House, ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.