A Bella Vita Place Assisted Living,LLC

Key facts

NPI

1154712495

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

License

AL12591 (FL)

Legal business name

A BELLA VITA PLACE ASSISTED LIVING,LLC

Practice address

2143 Dorson Way
Delray Beach, FL 33445-2438

Phone

(561) 201-4534

Fax

(561) 908-2649

NPI assigned

Feb 9, 2015

Organization subpart

No

Authorized official

Name

Mrs. Nicole Beauzieux-Germain

Title

Owner Administrator

Phone

(561) 201-4534

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 9, 2015.

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1154712495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 DORSON WAY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452438",
            "telephone_number": "561-201-4534",
            "fax_number": "561-908-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 DORSON WAY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452438",
            "telephone_number": "561-201-4534",
            "fax_number": "561-908-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BELLA VITA PLACE ASSISTED LIVING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "BEAUZIEUX-GERMAIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "561-201-4534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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