Colonial Assisted Living at Palm Beach, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONIAL ASSISTED LIVING AT PALM BEACH, LLC

Practice address

2090 N Congress Ave
West Palm Beach, FL 33401-8210

Phone

(561) 214-4997

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Ricki Kaneti

Title

Managing Member

Phone

(954) 600-6333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1295304202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 HARBOR CT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330195030",
            "telephone_number": "305-469-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 N CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334018210",
            "telephone_number": "561-214-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL ASSISTED LIVING AT PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-600-6333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy M Collura, ARNP
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• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm 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 Jun 23, 2021; 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.