Senior Living Properties - Hibiscus LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9309 Issued in FL

Legal business name

SENIOR LIVING PROPERTIES - HIBISCUS LLC

Doing business as

Hibiscus Court

Practice address

540 E Hibiscus Blvd
Melbourne, FL 32901-3229

Phone

(321) 951-1050

Fax

(321) 951-0608

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Uri Rubin

Title

Cfo

Phone

(954) 691-1030

Specialties & licenses 1

Addresses

Other names 1

• Hibiscus Court Doing business as

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1366784597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JOHNSON RD UNIT 1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734361",
            "telephone_number": "954-691-1030",
            "fax_number": "954-691-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013229",
            "telephone_number": "321-951-1050",
            "fax_number": "321-951-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES - HIBISCUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-691-1030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hibiscus Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, 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 Mar 26, 2013; 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.