Blue Ribbon Care Assisted Living Facility II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLUE RIBBON CARE ASSISTED LIVING FACILITY II, LLC

Practice address

22594 SW 65TH Ter
Boca Raton, FL 33428-6049

Phone

(786) 510-0286

Fax

(561) 354-6031

NPI assigned

Jun 29, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Rennay RoseNPI 1396886024

Title

Administrator

Phone

(786) 510-0286

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rennay A Rose, BA

  • Social Worker
  • Miami, FL
  • NPI 1396886024
  NPD Authorized official

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561766400000",
    "number": "1174185102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22594 SW 65TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286049",
            "telephone_number": "786-510-0286",
            "fax_number": "561-354-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22594 SW 65TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286049",
            "telephone_number": "786-510-0286",
            "fax_number": "561-354-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIBBON CARE ASSISTED LIVING FACILITY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "RENNAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-510-0286",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R200721795570",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rrosemiami@aol.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "22594 SW 65th Ter",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334286049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Boca Raton, FL
• Providers in Boca Raton, 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 Jun 29, 2019; 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.