Organization Active NPI

Peace on Earth LL Assisted Living Facility,Inc

  • Physical Disabilities Residential Treatment Facility
  • Pompano Beach, FL
National Provider Identifier
1255606570
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
11315 Issued in FL
Legal business name
PEACE ON EARTH LL ASSISTED LIVING FACILITY,INC
Practice address
470 SW 14TH CT
Pompano Beach, FL 33060-8620
Phone
(954) 781-4954
Fax
(954) 227-4657
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Ms. Christine Cynthia Roberts, ADMINISTRATIVE
Title
Owner
Phone
(954) 796-9912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 11315 FL Primary

Addresses

Primary practice location

470 SW 14TH CT
Pompano Beach, FL 33060-8620

Mailing address

470 SW 14TH CT
Pompano Beach, FL 33060-8620
Phone (954) 781-4954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1255606570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SW 14TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608620",
            "telephone_number": "954-781-4954",
            "fax_number": "954-227-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SW 14TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608620",
            "telephone_number": "954-781-4954",
            "fax_number": "954-227-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE ON EARTH LL ASSISTED LIVING FACILITY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-796-9912",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATIVE"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "11315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.