Organization Active NPI

Delray Assisted Living LLC

  • Assisted Living Facility
  • Delray Beach, FL
National Provider Identifier
1396563268
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DELRAY ASSISTED LIVING LLC
Practice address
2010 SW 11TH CT
Delray Beach, FL 33445-6005
Phone
(561) 454-2000
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Ms. Tricia Thacker
Title
Ceo
Phone
(813) 558-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2010 SW 11TH CT
Delray Beach, FL 33445-6005

Mailing address

2010 SW 11TH CT
Delray Beach, FL 33445-6005
Phone (561) 454-2000

Other names 1

  • Condor Senior Living Doing business as

National Provider Directory

National Provider Directory

Locations

2010 SW 11th Ct
Delray Beach, FL 33445
Phone (561) 454-2000

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1396563268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SW 11TH CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456005",
            "telephone_number": "561-454-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SW 11TH CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456005",
            "telephone_number": "561-454-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-558-6600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Condor Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.