Seacrest Residence LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

091916 Issued in FL

Legal business name

SEACREST RESIDENCE LLC

Practice address

144 SE 31St Ave
Boynton Beach, FL 33435-8227

Phone

(561) 577-3589

NPI assigned

Nov 22, 2015

Organization subpart

No

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

Authorized official

Name

Arlene Henry

Title

Manager

Phone

(561) 577-3589

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1356715734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SE 31ST AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358227",
            "telephone_number": "561-577-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SE 31ST AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358227",
            "telephone_number": "561-577-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACREST RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-577-3589"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "091916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014795000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Seaglass Wellness Group
• Dana Scot Sealander, DNP, CRNA
• David Alan Seamont, MD

• Adult Care Home Facility in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.