Active NPI
Bethesda Assisted Living
- Assisted Living Facility
- Greenacres, FL
National Provider Identifier
1356883136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12894
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lake Worth, FL
- NPI 1285387332
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.