Loving Extended Family Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LOVING EXTENDED FAMILY HOME LLC

Practice address

5112 N Laurel Cir
Tamarac, FL 33319-3100

Phone

(954) 900-4817

Fax

(954) 900-4817

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Norma Guillaume

Title

Owner

Phone

(954) 900-4817

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1235542572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 N LAUREL CIR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193100",
            "telephone_number": "954-900-4817",
            "fax_number": "954-900-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 N LAUREL CIR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193100",
            "telephone_number": "954-900-4817",
            "fax_number": "954-900-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING EXTENDED FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "GUILLAUME",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-900-4817",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.