Hibiscus Palace Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11968878 Issued in FL

Legal business name

HIBISCUS PALACE ALF

Practice address

1755 14TH Ave N
Lake Worth, FL 33460-1722

Phone

(561) 385-2532

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Andrea Mattis

Title

Administrator

Phone

(561) 385-2532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1194192146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 14TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334601722",
            "telephone_number": "561-385-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 14TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334601722",
            "telephone_number": "561-385-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS PALACE ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-385-2532"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11968878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lake Worth, FL
• Providers in Lake Worth, 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 Aug 25, 2015; 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.