NPIMap

Organization Active NPI

Eaglescove Villa Alf, Inc.

  • Assisted Living Facility
  • Ft Lauderdale, FL
National Provider Identifier
1154614709
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10618 Issued in FL
Legal business name
EAGLESCOVE VILLA ALF, INC.
Practice address
3221 Glendale Blvd
Ft Lauderdale, FL 33312-1940
Phone
(954) 583-9702
Fax
(954) 583-0786
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Ms. Paula Evadne Hyman
Title
Administrator
Phone
(954) 583-0702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10618 FL Primary

Addresses

Primary practice location

3221 Glendale Blvd
Ft Lauderdale, FL 33312-1940

Mailing address

3221 Glendale Blvd
Ft Lauderdale, FL 33312-1940
Phone (954) 583-0702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1154614709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 GLENDALE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121940",
            "telephone_number": "954-583-0702",
            "fax_number": "954-583-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 GLENDALE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121940",
            "telephone_number": "954-583-9702",
            "fax_number": "954-583-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLESCOVE VILLA ALF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "EVADNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-583-0702",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.