A&C Godbless Assisted Living Facility, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12495 Issued in FL

Legal business name

A&C GODBLESS ASSISTED LIVING FACILITY, LLC

Doing business as

A&C GOD BLESS ASSISTED LIVING FACILITY

Practice address

235 Gaspar St SW
Palm Bay, FL 32908-1237

Phone

(321) 557-7219

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Carline Jean Louis

Title

Administrator

Phone

(321) 557-7219

Specialties & licenses 1

Addresses

Other names 1

• A&C GOD BLESS ASSISTED LIVING FACILITY Doing business as

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1164833224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GASPAR ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081237",
            "telephone_number": "321-557-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GASPAR ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329081237",
            "telephone_number": "321-557-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&C GODBLESS ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "JEAN LOUIS",
        "authorized_official_first_name": "CARLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-557-7219"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A&C GOD BLESS ASSISTED LIVING FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, 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 May 12, 2014; 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.