Active NPI
Gloria Assisted Living Facility LLC
- Assisted Living Facility
- West Palm Beach, FL
National Provider Identifier
1306478664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GLORIA ASSISTED LIVING FACILITY LLC
- Practice address
- 5034 Kathy LN
West Palm Beach, FL 33415-2740 - Phone
- (561) 693-7259
- NPI assigned
- Feb 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Sajilus
- Title
- Owner
- Phone
- (561) 693-7259
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
5034 Kathy LN
West Palm Beach, FL 33415-2740
Mailing address
5034 Kathy LN
West Palm Beach, FL 33415-2740
Phone (561) 693-7259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105667300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility
- West Palm Beach, FL
- NPI 1760950885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585699200000",
"number": "1306478664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5034 KATHY LN",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334152740",
"telephone_number": "561-693-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5034 KATHY LN",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334152740",
"telephone_number": "561-693-7259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIA ASSISTED LIVING FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-05",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A",
"authorized_official_last_name": "SAJILUS",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-693-7259"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105667300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.