Organization Active NPI

Daniel Madistin, LLC

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1194271650
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DANIEL MADISTIN, LLC
Practice address
13629 75TH LN N
West Palm Beach, FL 33412-2126
Phone
(561) 420-3346
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Daniel Madistin
Title
Administrator
Phone
(561) 433-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

13629 75TH LN N
West Palm Beach, FL 33412-2126

Mailing address

13629 75TH LN N
West Palm Beach, FL 33412-2126
Phone (561) 420-3346

Other names 1

  • Bethesda Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1194271650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13629 75TH LN N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122126",
            "telephone_number": "561-420-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13629 75TH LN N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334122126",
            "telephone_number": "561-420-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL MADISTIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "MADISTIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-433-9331"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.