Ejl Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10472 Issued in FL

Legal business name

EJL ASSISTED LIVING FACILITY

Practice address

1701 SW 47TH Ave
Ft Lauderdale, FL 33317-5618

Phone

(954) 625-2266

NPI assigned

Aug 2, 2008

Organization subpart

No

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

Authorized official

Name

Conrado Barrio

Title

Administrator

Phone

(954) 625-2266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217635200000",
    "number": "1366608952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SW 47TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333175618",
            "telephone_number": "954-625-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SW 47TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333175618",
            "telephone_number": "954-625-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJL ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-02",
        "last_updated": "2008-08-02",
        "status": "A",
        "authorized_official_last_name": "BARRIO",
        "authorized_official_first_name": "CONRADO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-625-2266"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Eisman
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• Damian E Eker, DNP, GNP
• Layall El-McHarfie
• Elan Vital Healthcare Inc
• Marwan Elannan, PHARMD
• Shoham Elazar, DMD

• Assisted Living Facility in Fort Lauderdale, FL
• Providers in Fort 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 Aug 2, 2008; 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.