Cytas Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12308 Issued in FL

Legal business name

CYTAS CORP.

Doing business as

avon manor

Practice address

4531 SW 34TH Dr
Fort Lauderdale, FL 33312-5515

Phone

(954) 966-3026

Fax

(954) 966-9758

NPI assigned

Mar 27, 2014

Last updated

Mar 27, 2014By 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

Mr. Robert S Bruce

Title

President

Phone

(954) 966-3026

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• avon manor Doing business as

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1295152239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 SW 34TH DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125515",
            "telephone_number": "954-966-3026",
            "fax_number": "954-966-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 SW 34TH DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125515",
            "telephone_number": "954-966-3026",
            "fax_number": "954-966-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTAS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-966-3026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009269500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "avon manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Mar 27, 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.