Juniper Village Eventide LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0007753 Issued in FL

Legal business name

JUNIPER VILLAGE EVENTIDE LP

Doing business as

Juniper Village @ Cape Coral

Practice address

4920 Viceroy CT
Cape Coral, FL 33904-9048

Phone

(239) 542-3121

NPI assigned

Oct 14, 2008

Last updated

Oct 14, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

JUNIPER COMMUNITIES LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Margaret Pepper

Title

Executive Director

Phone

(239) 542-3121

Specialties & licenses 1

Addresses

Other names 1

• Juniper Village @ Cape Coral Doing business as

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1205088986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 VICEROY CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049048",
            "telephone_number": "239-542-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 VICEROY CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049048",
            "telephone_number": "239-542-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER VILLAGE EVENTIDE LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUNIPER COMMUNITIES LLC",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "239-542-3121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "0007753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Village @ Cape Coral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Marie Jozaities, RBT
• Juan C. Domingo, M.D.,P.a.
• Julio Sales Group LLC
• Naomi David Julmus, LPN
• Roxana Junco
• K'Rismas Home Health Corp
• Tara Lynne Kabat, APRN
• Kagan, Jugan & Associates
• Diksha Kajal, M.D
• Trisha Kalamaras, ARNP

• Assisted Living Facility in Cape Coral, FL
• Providers in Cape Coral, 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 Oct 14, 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.