Lauderhill Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7249 Issued in FL

Legal business name

LAUDERHILL MANOR LLC

Doing business as

Lauderhill Manor

Practice address

2801 NW 55TH Ave
Lauderhill, FL 33313-2509

Phone

(954) 484-1960

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Linda Horvath

Title

Administrator

Phone

(954) 484-1960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lauderhill Manor Doing business as

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1396172987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 55TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 55TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132509",
            "telephone_number": "954-484-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUDERHILL MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-484-1960"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0-040-331-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauderhill Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lauderhill, FL
• Providers in Lauderhill, 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 Sep 27, 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.