Organization Active NPI

Palanis Inc.

  • Assisted Living Facility
  • Valrico, FL
National Provider Identifier
1366733834
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11391 Issued in FL
Legal business name
PALANIS INC.
Practice address
1807 S Valrico Rd
Valrico, FL 33596-5236
Phone
(813) 458-7775
Fax
(813) 661-1392
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Mrs. Nekette Jerome-Badillo, PRESIDENT
Title
Administrator
Phone
(813) 458-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11391 FL Primary

Addresses

Primary practice location

1807 S Valrico Rd
Valrico, FL 33596-5236

Mailing address

1807 S Valrico Rd
Valrico, FL 33596-5236
Phone (813) 458-7775

Other names 1

  • Palanis Inc. ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1366733834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S VALRICO RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965236",
            "telephone_number": "813-458-7775",
            "fax_number": "813-661-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 S VALRICO RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965236",
            "telephone_number": "813-458-7775",
            "fax_number": "813-661-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALANIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "JEROME-BADILLO",
        "authorized_official_first_name": "NEKETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-458-7775",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palanis Inc. ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.