Active NPI
Senior Living Properties III, LLC
- Assisted Living Facility
- Coconut Creek, FL
National Provider Identifier
1366886418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9917
- Legal business name
- SENIOR LIVING PROPERTIES III, LLC
- Practice address
- 4611 Johnson Rd
Suite 1
Coconut Creek, FL 33073-4361 - Phone
- (954) 691-1030
- NPI assigned
- Apr 19, 2013
- Last updated
- Apr 19, 2013
- 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
- Uri Rubin
- Title
- Cfo
- Phone
- (954) 691-1030
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL9888 | FL | |
| Assisted Living Facility | 310400000X | AL10024 | FL | |
| Assisted Living Facility | 310400000X | AL9917 | FL | Primary |
Addresses
Primary practice location
4611 Johnson Rd
Suite 1
Coconut Creek, FL 33073-4361
Mailing address
4611 Johnson Rd
Suite 1
Coconut Creek, FL 33073-4361
Phone (954) 691-1030
National Provider Directory
National Provider DirectoryLocations
4611 Johnson Rd
Unit 1
Coconut Creek, FL 33073
Phone (954) 691-1030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366329600000",
"number": "1366886418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 JOHNSON RD",
"address_2": "SUITE 1",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734361",
"telephone_number": "954-691-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 JOHNSON RD",
"address_2": "SUITE 1",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734361",
"telephone_number": "954-691-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR LIVING PROPERTIES III, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-19",
"last_updated": "2013-04-19",
"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"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL9888",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL10024",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL9917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.