Hibiscus Palace North Palm LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HIBISCUS PALACE NORTH PALM LLC

Practice address

111 Castlewood Dr
North Palm Beach, FL 33408-5601

Phone

(561) 822-3806

Fax

(561) 375-5889

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Mattis, RN

Title

Administrator

Phone

(561) 385-2532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1215659107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 VIA LEONARDO",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675236",
            "telephone_number": "561-385-2532",
            "fax_number": "561-375-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CASTLEWOOD DR",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085601",
            "telephone_number": "561-822-3806",
            "fax_number": "561-375-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS PALACE NORTH PALM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-385-2532",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in North Palm Beach, FL
• Providers in North Palm Beach, 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 Sep 16, 2022; 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.