Wellington SLC Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WELLINGTON SLC OPCO, LLC

Practice address

14097 Lily CT
Wellington, FL 33414-8631

Phone

(561) 429-6168

Fax

(866) 561-8999

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Pilar Carvajal

Title

President

Phone

(305) 428-2480

Specialties & licenses 1

Addresses

Other names 1

• The Club at Wellington Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1295305142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 W MORSE BLVD STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893781",
            "telephone_number": "305-428-2480",
            "fax_number": "305-428-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14097 LILY CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148631",
            "telephone_number": "561-429-6168",
            "fax_number": "866-561-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON SLC OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "PILAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-428-2480",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@theclubatwellington.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14097 Lily Ct",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334148631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Club at Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Wellington, FL
• Providers in Wellington, 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 Jul 1, 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.