A & G Marvelous Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

A & G MARVELOUS ALF LLC

Practice address

6706 Inwood
North Lauderdale, FL 33068-3820

Phone

(954) 636-9168

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Annalise Durand

Title

Owner/Administrator

Phone

(954) 636-9168

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1285465880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 INWOOD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683820",
            "telephone_number": "954-636-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 INWOOD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683820",
            "telephone_number": "954-636-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & G MARVELOUS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "DURAND",
        "authorized_official_first_name": "ANNALISE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-636-9168"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.