Shangri-la III Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12391 Issued in FL

Legal business name

SHANGRI-LA III ALF LLC

Practice address

808 Gillen Ave NW
Palm Bay, FL 32907-7781

Phone

(321) 914-0274

Fax

(321) 473-8703

NPI assigned

Apr 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ernest Roger Lapointe

Title

Administrator

Phone

(321) 507-8722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1376963686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GILLEN AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077781",
            "telephone_number": "321-914-0274",
            "fax_number": "321-473-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GILLEN AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077781",
            "telephone_number": "321-914-0274",
            "fax_number": "321-473-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA III ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "LAPOINTE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-507-8722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shangri-la Alf 868 LLC
• Shangri-la Alf, LLC
• Shangri-la at Lockmar Alf LLC
• Shangri-la at Riviera Alf LLC
• Shangri-la II Alf LLC
• Shangri-la of Palm Bay Alf, LLC
• Zafar Iqbal Sharar, M.D.
• Sharon Pell LCSW
• William H Sherard, D.C.
• Sheron Frater

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, 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 Apr 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.