NPIMap

Organization Active NPI

Extended Care Portfolio Florida Tenant, LLC

  • Assisted Living Facility
  • Greenacres, FL
National Provider Identifier
1184062259
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9666 Issued in FL
Legal business name
EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC
Practice address
4760 S Jog Rd
Greenacres, FL 33467-5119
Phone
(561) 434-0434
NPI assigned
Jun 11, 2013
Organization subpart
Yes
Parent organization
EXTENDED CARE PORTFOLIOTENANT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Deepak Israni
Title
Owner
Phone
(619) 296-9000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL99 FL
Assisted Living Facility 310400000X AL9409 FL
Assisted Living Facility 310400000X AL9666 FL Primary

Addresses

Primary practice location

4760 S Jog Rd
Greenacres, FL 33467-5119

Mailing address

1775 Hancock St Ste 200
San Diego, CA 92110-2036
Phone (619) 296-9000

National Provider Directory

National Provider Directory
Tax ID family
Extended Care Portfolio Tenant LLC11 organizations share this tax ID, including this one
Part of
Extended Care Portfolio Tenant LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4760 S Jog Rd
Greenacres, FL 33467
Phone (561) 379-1112

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1184062259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HANCOCK ST STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102036",
            "telephone_number": "619-296-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334675119",
            "telephone_number": "561-434-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTENDED CARE PORTFOLIOTENANT, LLC",
        "enumeration_date": "2013-06-11",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL99",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9409",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.