Organization Active NPI

Octavia Gardens Assisted Living Facility Inc

  • Assisted Living Facility
  • Royal Palm Beach, FL
National Provider Identifier
1225371875
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11711 Issued in FL
Legal business name
OCTAVIA GARDENS ASSISTED LIVING FACILITY INC
Practice address
315 Las Palmas St
Royal Palm Beach, FL 33411-1029
Phone
(561) 753-2293
NPI assigned
Apr 2, 2013
Organization subpart
Yes
Parent organization
OCTAVIA GARDENS ASSISTED LIVING FACILITY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Mrs. Monica Barnes
Title
Director
Phone
(561) 305-3229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11711 FL Primary

Addresses

Primary practice location

315 Las Palmas St
Royal Palm Beach, FL 33411-1029

Mailing address

315 Las Palmas St
Royal Palm Beach, FL 33411-1029
Phone (561) 753-2293

National Provider Directory

National Provider Directory
Tax ID family
Octavia Gardens Assisted Living Facility Inc2 organizations share this tax ID, including this one
Part of
Octavia Gardens Assisted Living Facility Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1225371875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 LAS PALMAS ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111029",
            "telephone_number": "561-753-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LAS PALMAS ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111029",
            "telephone_number": "561-753-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIA GARDENS ASSISTED LIVING FACILITY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCTAVIA GARDENS ASSISTED LIVING FACILITY INC",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-305-3229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

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