Organization Active NPI

Peaceful Beginnings Assisted Living Facility LLC

  • Assisted Living Facility
  • Boynton Beach, FL
National Provider Identifier
1174376180
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PEACEFUL BEGINNINGS ASSISTED LIVING FACILITY LLC
Practice address
3570 Harlowe Ave
Boynton Beach, FL 33436-3111
Phone
(561) 200-9138
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Otsheel ReneNPI 1649953282
Title
Owner
Phone
(954) 297-0107

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

3570 Harlowe Ave
Boynton Beach, FL 33436-3111

Mailing address

3570 Harlowe Ave
Boynton Beach, FL 33436-3111
Phone (561) 200-9138

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.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1174376180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HARLOWE AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363111",
            "telephone_number": "561-200-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HARLOWE AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363111",
            "telephone_number": "561-200-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL BEGINNINGS ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "RENE",
        "authorized_official_first_name": "OTSHEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-297-0107"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

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