NPIMap

Organization Active NPI

Cypress Manor Assisted Living Facility 11

  • Assisted Living Facility
  • Margate, FL
National Provider Identifier
1275968794
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10351 Issued in FL
Legal business name
CYPRESS MANOR ASSISTED LIVING FACILITY 11
Practice address
1910 NW 77TH Ave
Margate, FL 33063-6816
Phone
(954) 825-8977
Fax
(954) 978-4594
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Lurline Evans
Title
Administrator
Phone
(954) 825-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10351 FL Primary

Addresses

Primary practice location

1910 NW 77TH Ave
Margate, FL 33063-6816

Mailing address

1910 NW 77TH Ave
Margate, FL 33063-6816
Phone (954) 825-8977

Other identifiers 1

IdentifierTypeStateIssuer
009094200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Cypress Manor Assisted Living Facility 112 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1275968794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 NW 77TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330636816",
            "telephone_number": "954-825-8977",
            "fax_number": "954-978-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NW 77TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330636816",
            "telephone_number": "954-825-8977",
            "fax_number": "954-978-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS MANOR ASSISTED LIVING FACILITY 11",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LURLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-825-8977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009094200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.