Organization Active NPI

Islf-Regents Park of Winter Park LLC

  • Assisted Living Facility
  • Winter Park, FL
National Provider Identifier
1386059293
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7289 Issued in FL
Legal business name
ISLF-REGENTS PARK OF WINTER PARK LLC
Doing business as
Westchester of Winter Park
Practice address
558 N Semoran Blvd
Winter Park, FL 32792-2840
Phone
(407) 679-5555
NPI assigned
Jun 30, 2014
Organization subpart
Yes
Parent organization
INSTITUTE FOR SENIOR LIVING FLORIDA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Howard Jaffe
Title
Director
Phone
(215) 346-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7289 FL Primary

Addresses

Primary practice location

558 N Semoran Blvd
Winter Park, FL 32792-2840

Mailing address

558 N Semoran Blvd
Winter Park, FL 32792-2840
Phone (407) 679-5555

Other identifiers 1

IdentifierTypeStateIssuer
009860600MedicaidFL

Other names 1

  • Westchester of Winter Park Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0913437Westchester at Winter Park, the558 N Semoran Blvd, Winter Park, FL 32792Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1386059293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 N SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922840",
            "telephone_number": "407-679-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922840",
            "telephone_number": "407-679-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLF-REGENTS PARK OF WINTER PARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE FOR SENIOR LIVING FLORIDA INC.",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009860600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester of Winter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.