Organization Active NPI

Hampton Alf at 24TH Road, LLC

  • Assisted Living Facility
  • Ocala, FL
National Provider Identifier
1295033397
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8297 Issued in FL
Legal business name
HAMPTON ALF AT 24TH ROAD, LLC
Practice address
1500 SE 24TH Rd
Ocala, FL 34471-6006
Phone
(352) 732-1122
Fax
(352) 732-7271
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Pam Cutsuries
Title
VP of Operations
Phone
(352) 804-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8297 FL Primary

Addresses

Primary practice location

1500 SE 24TH Rd
Ocala, FL 34471-6006

Mailing address

1500 SE 24TH Rd
Ocala, FL 34471-6006
Phone (352) 732-1122

Other identifiers 1

IdentifierTypeStateIssuer
002691300MedicaidFL

National Provider Directory

National Provider Directory

Locations

1500 SE 24th Rd
Ocala, FL 34471
Phone (352) 732-1122

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1295033397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SE 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716006",
            "telephone_number": "352-732-1122",
            "fax_number": "352-732-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716006",
            "telephone_number": "352-732-1122",
            "fax_number": "352-732-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ALF AT 24TH ROAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "CUTSURIES",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "352-804-5040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002691300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.