Active NPI
Peace on Earth LL Assisted Living Facility,Inc
- Physical Disabilities Residential Treatment Facility
- Pompano Beach, FL
National Provider Identifier
1255606570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 11315
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Natalie Payanis
- John Palmer Payne
- PBC & Associates Mental Health Services
- PCP Healthcare Management, Corp.
- Peace on Earth II Alf, Inc. (Pease on Earth II Assisted Living Facility)
- Ana Maria Peana, LMHC
- Pearl Dental
- Ana M Pecanha, LMT
- Pediatric Care of Pompano, LLC
- Pediatrix Medical Group Florida Inc
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.