Leisure Land Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12330 Issued in FL

Legal business name

LEISURE LAND ALF INC

Practice address

2301 NE 12TH Ter
Pompano Beach, FL 33064-5518

Phone

(754) 300-8895

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Robinson

Title

Owner/Adminisrator

Phone

(850) 702-4984

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1285066134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NE 12TH TER",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645518",
            "telephone_number": "754-300-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NE 12TH TER",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645518",
            "telephone_number": "754-300-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE LAND ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER/ADMINISRATOR",
        "authorized_official_telephone_number": "850-702-4984"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Pompano Beach, FL
• Providers in Pompano Beach, 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 Aug 2, 2013; 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.