Hampton Manor of Ormond Beach LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8860 Issued in FL

Legal business name

HAMPTON MANOR OF ORMOND BEACH LLC

Practice address

1050 Ocean Shore Blvd
Ormond Beach, FL 32176-4126

Phone

(386) 441-1771

Fax

(386) 441-1778

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Peder Johnsen

Title

Ceo

Phone

(352) 387-1830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1184944472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OCEAN SHORE BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321764126",
            "telephone_number": "386-441-1771",
            "fax_number": "386-441-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OCEAN SHORE BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321764126",
            "telephone_number": "386-441-1771",
            "fax_number": "386-441-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON MANOR OF ORMOND BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "PEDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-387-1830"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallandale Counseling Inc
• Andrew C Halpern, MD
• Janet M. Hamill, LCSW-C
• Jessica Kate Hamilton, APRN
• Maureen Phyllis Hamilton, LPN
• Anna Handy
• Karen Ann Hanflink, MSPT
• Ereiny Hanna
• Timothy Harbuck, O.D.
• Timothy R Harbuck, O.D.

• Assisted Living Facility in Ormond Beach, FL
• Providers in Ormond Beach, 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 9, 2010; 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.