Long Life Care Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LONG LIFE CARE ASSISTED LIVING

Practice address

9851 NW 53Rd CT
Coral Springs, FL 33076-2636

Phone

(954) 345-1422

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Joan Braide

Title

Administrator

Phone

(954) 345-1422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1275853228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 NW 53RD CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762636",
            "telephone_number": "954-345-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 NW 53RD CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762636",
            "telephone_number": "954-345-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "BRAIDE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-345-1422"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA LICENSE #",
            "identifier": "AL11562",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jevon Errol Logan
• Wendy L Logrono
• Jodie Michele Loiacono, LCSW
• Aesha Lomas
• Caryn London
• Jacob Glenn Long, DPT
• Janine K Long, MS; LPC
• Diana Leslie Lopez Herrera
• Amanda Lopez, PA-C
• Juan G Lopez, DDS, DMD

• Assisted Living Facility in Coral Springs, FL
• Providers in Coral Springs, 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 Jun 1, 2010; 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.