Organization Active NPI

Your Legacy Managing Group LLC

Doing business as Atlantic Shore Retirement Residence

  • Assisted Living Facility
  • Pompano Beach, FL
National Provider Identifier
1164242228
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
YOUR LEGACY MANAGING GROUP LLC
Doing business as
Atlantic Shore Retirement Residence
Practice address
1500 N Riverside Dr
Pompano Beach, FL 33062-3310
Phone
(954) 941-7974
Fax
(954) 942-2896
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Eliezer Merisier, APRNNPI 1396294096
Title
Administrator
Phone
(954) 941-7974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1500 N Riverside Dr
Pompano Beach, FL 33062-3310

Mailing address

1500 N Riverside Dr
Pompano Beach, FL 33062-3310
Phone (954) 941-7974

Other names 1

  • ATLANTIC SHORE RETIREMENT RESIDENCE Doing business as

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": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1164242228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N RIVERSIDE DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623310",
            "telephone_number": "954-941-7974",
            "fax_number": "954-942-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N RIVERSIDE DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623310",
            "telephone_number": "954-941-7974",
            "fax_number": "954-942-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LEGACY MANAGING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "MERISIER",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-941-7974",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC SHORE RETIREMENT RESIDENCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.