Seventy-Seven House

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

SEVENTY-SEVEN HOUSE

Practice address

183 Jog Rd
West Palm BCH, FL 33415-2343

Phone

(561) 373-8656

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Pable Lopez Deleon

Title

Owner/Director

Phone

(561) 373-8656

Specialties & licenses 1

Addresses

Tax ID family

Seventy Seven House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seventy Seven House

  • Clinical Medical Laboratory
  • West Palm Beach, FL
  • NPI 1619311750
  NPD tax ID

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1356689822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 JOG RD",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334152343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 JOG RD",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334152343",
            "telephone_number": "561-373-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTY-SEVEN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "PABLE",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "561-373-8656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RKS Caregiver LLC
• Alina Rodriguez Hernandez
• Jason Nathaniel Roe, PHARMD
• Julia Sanna, LMFT, LMHC
• Serene Treatment, Inc.
• Lauren Sgarlato, NP-C
• Merna Shawer
• Sophia Academy of Dreamers ABA Center LLC
• Sterling Hospitalists of Florida PA
• Team Feet Inc

• Assisted Living Facility (Behavioral Disturbances) in West Palm BCH, FL
• Providers in West Palm BCH, FL by specialty
• Assisted Living Facility (Behavioral Disturbances) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.