NPIMap

Organization Active NPI

Adult Leisure Living, Inc.

  • Assisted Living Facility
  • Opa Locka, FL
National Provider Identifier
1245513993
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12063 Issued in FL
Legal business name
ADULT LEISURE LIVING, INC.
Practice address
15650 W Bunche Park Dr
Opa Locka, FL 33054-6965
Phone
(305) 705-2347
Fax
(305) 705-2394
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
William Truss
Title
Owner/Administrator
Phone
(954) 895-4134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12063 FL Primary

Addresses

Primary practice location

15650 W Bunche Park Dr
Opa Locka, FL 33054-6965

Mailing address

15650 W Bunche Park Dr
Opa Locka, FL 33054-6965
Phone (305) 705-2347

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1245513993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 W BUNCHE PARK DR",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546965",
            "telephone_number": "305-705-2347",
            "fax_number": "305-705-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 W BUNCHE PARK DR",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546965",
            "telephone_number": "305-705-2347",
            "fax_number": "305-705-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT LEISURE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "TRUSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-895-4134"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.