Path of Life of Lake Worth

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12929 Issued in FL

Legal business name

PATH OF LIFE OF LAKE WORTH

Practice address

87 W Rubber Tree Dr
Lake Worth, FL 33467-4840

Phone

(561) 968-8344

NPI assigned

Nov 10, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Hernandez, R.N.

Title

Administrator

Phone

(305) 282-2620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1255873097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 W RUBBER TREE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 W RUBBER TREE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674840",
            "telephone_number": "561-968-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH OF LIFE OF LAKE WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-282-2620",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Disha Parimal Patel
• Eva Patel
• Khyati Patel, OTR/L
• Manoj Patel, DDS
• Sejal Patel, MS, OTR/L
• Patients First Family Practice and Urgent Care
• Patients First Family Practice and Urgent Care LLC
• Angeline Paul
• Breana Paul
• Kari Paul

• Assisted Living Facility in Lake Worth, FL
• Providers in Lake Worth, 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 10, 2016; 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.