A Bella Vita Place Assisted Living,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12591 Issued in 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

Last updated

Feb 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Beauzieux-Germain

Title

Owner Administrator

Phone

(561) 201-4534

Specialties & licenses 1

Addresses

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

{
    "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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• Assisted Living Facility in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.