Organization Active NPI

Bethesda Assisted Living

  • Assisted Living Facility
  • Greenacres, FL
National Provider Identifier
1356883136
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12894 Issued in FL
Legal business name
BETHESDA ASSISTED LIVING
Practice address
3950 S 57TH Ave
Greenacres, FL 33463-4709
Phone
(561) 433-9331
Fax
(561) 433-8411
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Marie-Naomi Madistin
Title
Owner
Phone
(561) 644-4507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12894 FL Primary

Addresses

Primary practice location

3950 S 57TH Ave
Greenacres, FL 33463-4709

Mailing address

3950 S 57TH Ave
Greenacres, FL 33463-4709
Phone (561) 433-9331

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1356883136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S 57TH AVE",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634709",
            "telephone_number": "561-433-9331",
            "fax_number": "561-433-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S 57TH AVE",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634709",
            "telephone_number": "561-433-9331",
            "fax_number": "561-433-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "MADISTIN",
        "authorized_official_first_name": "MARIE-NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-644-4507"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.