Ambitious Quality Care Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11988 Issued in FL

Legal business name

AMBITIOUS QUALITY CARE ASSISTED LIVING

Practice address

3939 Country PL Apt C
Winter Haven, FL 33880-1519

Phone

(863) 242-8444

Fax

(863) 875-4766

NPI assigned

Feb 13, 2017

Organization subpart

No

Name

Miriam McGill, MBA

Title

Administrator

Phone

(863) 242-8444

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2017.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1336688258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338820545",
            "telephone_number": "863-242-8444",
            "fax_number": "863-875-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 COUNTRY PL APT C",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801519",
            "telephone_number": "863-242-8444",
            "fax_number": "863-875-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBITIOUS QUALITY CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-242-8444",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirtha Alvarez Acevedo, NP
• Raul Alvarez Jr., M.D.
• Hannah Alzaki, CNA
• Emilio Anthony Amador
• John C Amann, MD
• Amedisys Florida, LLC
• American Care of North Florida, Inc
• American Care of North Florida, Inc
• Ameripath Florida LLC
• Amanda Marie Anderson, APRN

• All providers in Winter Haven, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.