Ancona LTD., Inc. Dba Harbor Oaks Elderly Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5650 Issued in FL

Legal business name

ANCONA LTD., INC. DBA HARBOR OAKS ELDERLY CARE HOME

Practice address

158 Farmbrook Rd
Port Orange, FL 32127-6243

Phone

(386) 767-1613

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Ida Ancona

Title

Administrator/Secretary/Treasurer

Phone

(386) 767-1613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1306180336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 FARMBROOK RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276243",
            "telephone_number": "386-767-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 FARMBROOK RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276243",
            "telephone_number": "386-767-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCONA LTD., INC. DBA HARBOR OAKS ELDERLY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ANCONA",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "386-767-1613",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Port Orange, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.