JBS Assisted Living Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11448 Issued in FL

Legal business name

JBS ASSISTED LIVING HOME INC

Practice address

1511 NW 10TH Ave
Ft Lauderdale, FL 33311-5410

Phone

(954) 990-4847

NPI assigned

Jul 28, 2009

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Denice Bryant

Title

Adminastrator

Phone

(954) 369-8282

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1356572192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 NW 10TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115410",
            "telephone_number": "954-369-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NW 10TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115410",
            "telephone_number": "954-990-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBS ASSISTED LIVING HOME INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "DENICE",
        "authorized_official_title_or_position": "ADMINASTRATOR",
        "authorized_official_telephone_number": "954-369-8282"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "AL11448",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.