Organization Active NPI

Caring Village of Davie LLC

  • Assisted Living Facility
  • Davie, FL
National Provider Identifier
1306459169
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARING VILLAGE OF DAVIE LLC
Practice address
4681 SW 66TH Ave
Davie, FL 33314-4340
Phone
(954) 609-7614
Fax
(954) 827-0871
NPI assigned
Aug 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Authorized official

Name
Ms. Theresa Santana
Title
Administrator
Phone
(954) 609-7614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4681 SW 66TH Ave
Davie, FL 33314-4340

Mailing address

7200 Camino Real Ste 200
Boca Raton, FL 33433-5511
Phone (561) 925-2501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address theresa@privcapcompanies.com Direct

National Provider Directory

National Provider Directory

Locations

4681 SW 66th Ave
Davie, FL 33314
Phone (954) 410-6268

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598745600000",
    "number": "1306459169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMINO REAL STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335511",
            "telephone_number": "561-925-2501",
            "fax_number": "954-827-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4681 SW 66TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144340",
            "telephone_number": "954-609-7614",
            "fax_number": "954-827-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING VILLAGE OF DAVIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-609-7614",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theresa@privcapcompanies.com",
            "affiliation": "N",
            "endpointDescription": "Secured Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4681 SW 66th Ave",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333144340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; 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.