NPIMap

Organization Active NPI

Victorian Manor Assisted Living Facility

  • Respite Care
  • Hollywood, FL
National Provider Identifier
1215379433
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
AL10816 Issued in FL
Legal business name
VICTORIAN MANOR ASSISTED LIVING FACILITY
Practice address
900 N 24TH Ave
Hollywood, FL 33020-3455
Phone
(954) 929-7009
Fax
(954) 922-8753
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Ms. Barbara A Darville
Title
Owner
Phone
(954) 682-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X AL10816 FL Primary

Addresses

Primary practice location

900 N 24TH Ave
Hollywood, FL 33020-3455

Mailing address

900 N 24TH Ave
Hollywood, FL 33020-3455
Phone (954) 929-7009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1215379433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 24TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203455",
            "telephone_number": "954-929-7009",
            "fax_number": "954-922-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 24TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203455",
            "telephone_number": "954-929-7009",
            "fax_number": "954-922-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAN MANOR ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "DARVILLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-682-9777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL10816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.