Organization Active NPI

Rebecca Home, Inc

  • Assisted Living Facility
  • Sunrise, FL
National Provider Identifier
1245543735
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11510 Issued in FL
Legal business name
REBECCA HOME, INC
Practice address
2383 NW 111TH Ave
Sunrise, FL 33322-2542
Phone
(754) 244-2121
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Rebecca Fletcher
Title
Owner
Phone
(754) 244-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11510 FL Primary

Addresses

Primary practice location

2383 NW 111TH Ave
Sunrise, FL 33322-2542

Mailing address

2383 NW 111TH Ave
Sunrise, FL 33322-2542
Phone (754) 244-2121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1245543735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 NW 111TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222542",
            "telephone_number": "754-244-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 NW 111TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222542",
            "telephone_number": "754-244-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-244-2121"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.