Jacob's Ladder III Family Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11968748 Issued in FL

Legal business name

JACOB'S LADDER III FAMILY ALF

Practice address

1504 S Fiske Blvd
Rockledge, FL 32955-2515

Phone

(321) 890-5314

Fax

(888) 908-2791

NPI assigned

Nov 1, 2015

Last updated

Nov 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam WarnerNPI 1831557859

Title

Owner

Phone

(321) 890-5314

Specialties & licenses 1

Addresses

Locations

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.

• Adam Warner

  • Assisted Living Facility
  • Rockledge, FL
  • NPI 1831557859
  Authorized official Same address or phone

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1245603190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552515",
            "telephone_number": "321-890-5314",
            "fax_number": "888-908-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552515",
            "telephone_number": "321-890-5314",
            "fax_number": "888-908-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB'S LADDER III FAMILY ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-890-5314"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11968748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittnee Isner
• J&L Bowman Corp (atlantic denture clinic)
• Joey Jachec, MS, LMHC, NCC
• Quantearia Jackson
• Tina Jackson
• Jacobsladder Family
• Donna Jacoby, LCSW
• Jennie Jacques
• Lauren Scarborough Jadeja, D.M.D.
• Katie Jaehne

• Assisted Living Facility in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.