Palms of Lauderdale Lakes

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1098096 Issued in FL

Legal business name

PALMS OF LAUDERDALE LAKES

Practice address

3370 NW 47TH Ter
Lauderdale Lakes, FL 33319-6701

Phone

(954) 733-0655

NPI assigned

Apr 25, 2006

Last updated

Jul 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Ostroff

Title

Owner

Phone

(954) 358-1660

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1184680506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194989",
            "telephone_number": "954-358-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 NW 47TH TER",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333196701",
            "telephone_number": "954-733-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS OF LAUDERDALE LAKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "OSTROFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-358-1660"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1098096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030800500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Mechelle Otis
• Luis Antonio Paesano Alfaro, APRN
• Andres Palacio, MD
• Palms Facility Inc (Palms Care Center)
• Palms Nursing and Rehab LLC
• Palms of Lauderdale Lakes the LLC (The Palms Rehabilitation and Nursing Center)
• Thomas Palumbo, RPH
• Kathrin Ann Panos
• Nicole Pareja, M.A., BCBA
• Wyyetta Parham, RRT

• Skilled Nursing Facility in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.