Pampered Parents, Alf, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12487 Issued in FL

Legal business name

PAMPERED PARENTS, ALF, INC.

Practice address

6 Seton CT
Palm Coast, FL 32164-4430

Phone

(386) 313-6428

Fax

(386) 313-1679

NPI assigned

Sep 10, 2014

Organization subpart

Yes

Parent organization

PAMPERED PARENTS, ALF, INC.As reported in NPPES

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

Authorized official

Name

Ms. Susanna Sanford Knight, CNA

Title

President/Administrator

Phone

(407) 256-6070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pampered Parents, ALF Doing business as

Part of

Pampered Parents Alf Inc

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1265833131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S OCEANSHORE BLVD",
            "address_2": "SUITE 314",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321364100",
            "telephone_number": "407-256-6070",
            "fax_number": "386-313-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SETON CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321644430",
            "telephone_number": "386-313-6428",
            "fax_number": "386-313-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMPERED PARENTS, ALF, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAMPERED PARENTS, ALF, INC.",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_middle_name": "SANFORD",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-256-6070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "12487",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pampered Parents, ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, 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 Sep 10, 2014; 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.