Organization Active NPI

Annmarie Campbell Adult Family Care Home

  • Assisted Living Facility
  • Fort Lauderdale, FL
National Provider Identifier
1154639243
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
6906326 Issued in FL
Legal business name
ANNMARIE CAMPBELL ADULT FAMILY CARE HOME
Practice address
320 Pennsylvania Ave
Fort Lauderdale, FL 33312-1835
Phone
(954) 554-2916
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mrs. Annmarie Campbell
Title
Provider
Phone
(954) 554-2916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 6906326 FL Primary

Addresses

Primary practice location

320 Pennsylvania Ave
Fort Lauderdale, FL 33312-1835

Mailing address

320 Pennsylvania Ave
Fort Lauderdale, FL 33312-1835
Phone (954) 554-2916

Other identifiers 1

IdentifierTypeStateIssuer
001098700MedicaidFL

Other names 1

  • Campbells Adult Family Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1154639243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PENNSYLVANIA AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121835",
            "telephone_number": "954-554-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PENNSYLVANIA AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121835",
            "telephone_number": "954-554-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNMARIE CAMPBELL ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "954-554-2916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6906326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001098700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbells Adult Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.