Organization Active NPI

Private Life Retirement Place, Inc

  • Case Management Agency
  • Pompano Beach, FL
National Provider Identifier
1326478488
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PRIVATE LIFE RETIREMENT PLACE, INC
Practice address
1451 NE 30TH St
Pompano Beach, FL 33064-6834
Phone
(954) 588-1941
NPI assigned
Nov 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Viviane Deronvil
Title
Owner
Phone
(954) 588-1941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1451 NE 30TH St
Pompano Beach, FL 33064-6834

Mailing address

1451 NE 30TH St
Pompano Beach, FL 33064-6834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1326478488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 NE 30TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 NE 30TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646834",
            "telephone_number": "954-588-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE LIFE RETIREMENT PLACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "DERONVIL",
        "authorized_official_first_name": "VIVIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-588-1941"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.