A.L.F. at Ocean Breeze Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11569 Issued in FL

Legal business name

A.L.F. AT OCEAN BREEZE GARDENS

Practice address

535 Jackson Ave
Satellite Beach, FL 32937-2929

Phone

(321) 610-7056

Fax

(321) 989-0207

NPI assigned

Apr 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Kalei Stockstill

Title

Administrator

Phone

(321) 591-4113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1306189014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372068",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329370068",
            "telephone_number": "321-610-7056",
            "fax_number": "321-989-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACKSON AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372929",
            "telephone_number": "321-610-7056",
            "fax_number": "321-989-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.L.F. AT OCEAN BREEZE GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "STOCKSTILL",
        "authorized_official_first_name": "KALEI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-591-4113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen J Acevedo, LCSW
• Raymond D Adamcik, M.D.
• Heidi Marie Adkins, RN
• Max Albanese
• Catherine Young Albritton, L.M.T.

• Assisted Living Facility in Satellite Beach, FL
• Providers in Satellite 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 Apr 1, 2013; 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.