Organization Active NPI

Elite Garden

Doing business as Palamar House

  • Assisted Living Facility
  • Saint Cloud, FL
National Provider Identifier
1215395785
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12178 Issued in FL
Legal business name
ELITE GARDEN
Doing business as
Palamar House
Practice address
4319 Neptune Road
St Cloud, FL 34769
Phone
(407) 498-0998
Fax
(407) 498-0988
NPI assigned
Jan 29, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mrs. Sharda Sukh-Gafoor, RN
Title
Administrator
Phone
(407) 498-0998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12178 FL Primary

Addresses

Primary practice location

4319 Neptune Road
St Cloud, FL 34769

Mailing address

4319 Neptune Road
St Cloud, FL 34769
Phone (407) 498-0998

Other names 1

  • Palamar House Doing business as

National Provider Directory

National Provider Directory

Locations

4319 Neptune Rd
Saint Cloud, FL 34769
Phone (407) 498-0998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1215395785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 NEPTUNE ROAD",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-498-0998",
            "fax_number": "407-498-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 NEPTUNE ROAD",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-498-0998",
            "fax_number": "407-498-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE GARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SUKH-GAFOOR",
        "authorized_official_first_name": "SHARDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-498-0998",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palamar House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.