Hibiscus Palace II Assisted Living Facility LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12943 Issued in FL

Legal business name

HIBISCUS PALACE II ASSISTED LIVING FACILITY LLC.

Practice address

12842 Buckland St
Wellington, FL 33414-6223

Phone

(561) 557-3513

Fax

(561) 909-1548

NPI assigned

Feb 9, 2017

Organization subpart

Yes

Parent organization

HIBISCUS PALACE ASSISTED LIVING FACILITYAs reported in NPPES

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

Authorized official

Name

Andrea Mattis, RN

Title

Administrator

Phone

(561) 385-2532

Specialties & licenses 1

Addresses

Part of

Hibiscus Palace Alf

Locations

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1306384326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 VIA LEONARDO",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675236",
            "telephone_number": "561-385-2532",
            "fax_number": "561-909-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12842 BUCKLAND ST",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146223",
            "telephone_number": "561-557-3513",
            "fax_number": "561-909-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS PALACE II ASSISTED LIVING FACILITY LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIBISCUS PALACE ASSISTED LIVING FACILITY",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-385-2532",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna M Herrera, RBT
• Danay Herrera, DO
• Heather Michelle Hershberger, APRN, FNP-C
• Jessica Jane Herz, LMHC
• Hibiscus Health Concepts LLC
• Hibiscus Palace Wellington LLC
• Hillmoor Plaza Pharmacy Inc (IV Plus)
• Julie Rich Hilton, LCSW
• Bruce I Hindin, D.O.
• Jacqueline Ho Chan, PHARM D

• 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 Feb 9, 2017; 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.