Verona Gardens at Coral Ridge LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12531 Issued in FL

Legal business name

VERONA GARDENS AT CORAL RIDGE LLC

Practice address

2625 NE 13TH CT
Fort Lauderdale, FL 33304-1505

Phone

(954) 288-0656

Fax

(954) 343-5835

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Jose Pol

Title

Principal

Phone

(954) 288-0656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1376951087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7771 W OAKLAND PARK BLVD",
            "address_2": "STE 152",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516749",
            "telephone_number": "954-288-0656",
            "fax_number": "954-343-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 NE 13TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041505",
            "telephone_number": "954-288-0656",
            "fax_number": "954-343-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONA GARDENS AT CORAL RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "POL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "954-288-0656"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 25, 2014; 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.