Landmark Alf Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LANDMARK ALF OPERATIONS LLC

Practice address

227 Landmark Dr
Stuart, VA 24171-9400

Phone

(276) 694-3050

NPI assigned

Mar 28, 2019

Organization subpart

No

Name

Shimon Idels

Title

Coo

Phone

(917) 565-7391

• The Landmark Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2019.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1194286591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 MAIN ST # 39",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113677652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LANDMARK DR",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241719400",
            "telephone_number": "276-694-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK ALF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "IDELS",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "917-565-7391"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Landmark Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milbourne L Joye Jr., RD LDN
• India Brooke Kahle, COTA/L
• Kam'S Corner, LLC
• Noel P Kornett, DDS
• Ralph Lewis Kramer, M.D.
• Landmark Transport LLC
• Tracy M Lange, MSN, FNP, PMHNP
• James A. Law, O.D.
• Legacy Wellness LLC
• David Owen Lewis, M.D.

• All providers in Stuart, VA
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.