Organization Active NPI

Bywood Court Assisted Living

  • Assisted Living Facility
  • Lehigh Acres, FL
National Provider Identifier
1336747500
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BYWOOD COURT ASSISTED LIVING
Practice address
4916 Bywood St
Lehigh Acres, FL 33971-6588
Phone
(941) 404-6655
Fax
(941) 404-6655
NPI assigned
Oct 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Authorized official

Name
Mr. Genel Jacotin
Title
Administrator
Phone
(239) 645-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4916 Bywood St
Lehigh Acres, FL 33971-6588

Mailing address

4916 Bywood St
Lehigh Acres, FL 33971-6588
Phone (239) 989-3339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1336747500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 BYWOOD ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716588",
            "telephone_number": "239-989-3339",
            "fax_number": "941-404-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 BYWOOD ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716588",
            "telephone_number": "941-404-6655",
            "fax_number": "941-404-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYWOOD COURT ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "JACOTIN",
        "authorized_official_first_name": "GENEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-645-3764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.