NPIMap

Organization Active NPI

Palliser Assisted Living LLC

  • Assisted Living Facility
  • Boca Raton, FL
National Provider Identifier
1154805802
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PALLISER ASSISTED LIVING LLC
Practice address
9536 Old Pine Rd
Boca Raton, FL 33428-3056
Phone
(954) 682-1985
Fax
(754) 484-4321
NPI assigned
Sep 19, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Gabriela Janeta RomanNPI 1942138326
Title
Administrator
Phone
(954) 682-1985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

9536 Old Pine Rd
Boca Raton, FL 33428-3056

Mailing address

9536 Old Pine Rd
Boca Raton, FL 33428-3056
Phone (954) 682-1985

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1154805802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9536 OLD PINE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283056",
            "telephone_number": "954-682-1985",
            "fax_number": "754-484-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9536 OLD PINE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283056",
            "telephone_number": "954-682-1985",
            "fax_number": "754-484-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLISER ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "JANETA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-682-1985"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.