Organization Active NPI

Lovely Home Alf, LLC

Doing business as Assisted L Iving Facility

  • Assisted Living Facility (Behavioral Disturbances)
  • Palm Bay, FL
National Provider Identifier
1215543657
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
LOVELY HOME ALF, LLC
Doing business as
Assisted L Iving Facility
Practice address
1246 Harlingen Rd SW
Palm Bay, FL 32908-7146
Phone
(321) 543-4189
Fax
(321) 327-3698
NPI assigned
Sep 21, 2020
Last updated
Sep 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Mr. Tenesca Delva
Title
Administrator
Phone
(321) 543-4189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

1246 Harlingen Rd SW
Palm Bay, FL 32908-7146

Mailing address

1246 Harlingen Rd SW
Palm Bay, FL 32908-7146
Phone (321) 543-4189

Other names 1

  • ASSISTED L IVING FACILITY Doing business as

National Provider Directory

National Provider Directory

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1215543657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 HARLINGEN RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087146",
            "telephone_number": "321-543-4189",
            "fax_number": "321-327-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 HARLINGEN RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087146",
            "telephone_number": "321-543-4189",
            "fax_number": "321-327-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY HOME ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "DELVA",
        "authorized_official_first_name": "TENESCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-543-4189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSISTED L IVING FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.