Organization Active NPI

St Mary's Assited Living Residence LLC

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1225609977
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ST MARY'S ASSITED LIVING RESIDENCE LLC
Practice address
7001 S Dixie Hwy
West Palm Beach, FL 33405-4803
Phone
(561) 588-7677
Fax
(561) 584-7505
NPI assigned
Jul 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Miss Claudia A MarinoffNPI 1275185688
Title
Cfo
Phone
(561) 990-8089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7001 S Dixie Hwy
West Palm Beach, FL 33405-4803

Mailing address

4285 NW 66TH PL
Boca Raton, FL 33496-4029
Phone (561) 990-8089

National Provider Directory

National Provider Directory

Locations

7001 S Dixie Hwy
West Palm Beach, FL 33405
Phone (561) 588-7677

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": "1625356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1225609977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 NW 66TH PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334964029",
            "telephone_number": "561-990-8089",
            "fax_number": "561-584-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054803",
            "telephone_number": "561-588-7677",
            "fax_number": "561-584-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S ASSITED LIVING RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "MARINOFF",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-990-8089",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.