Phoenix Senior Living I Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PHOENIX SENIOR LIVING I CORP

Practice address

10020 NW 50TH MNR
Coral Springs, FL 33076-2419

Phone

(954) 682-1985

Fax

(954) 827-2258

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Gabriela Janeta RomanNPI 1942138326

Title

Administrator

Phone

(954) 682-1985

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriela Janeta Roman, RN

  • Registered Nurse
  • Coral Springs, FL
  • NPI 1942138326
  NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1396569638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 NW 50TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762419",
            "telephone_number": "954-682-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 NW 50TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762419",
            "telephone_number": "954-682-1985",
            "fax_number": "954-827-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SENIOR LIVING I CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "JANETA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-682-1985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Phillips, PSY.D.
• Marie Philogene
• Phoenix Counseling Service, Inc.
• Phoenix Emergency Medicine of Broward LLC
• Phoenix Pediatrics of Broward LLC
• Phoenix Senior Living III, Inc.
• Physical Therapy Now Coral Springs LLC
• Physicians Care Pluc Inc
• Physicians Care Plus of Coral Springs
• Physiotherapy Associates Inc

• Assisted Living Facility in Coral Springs, FL
• Providers in Coral Springs, 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 Nov 13, 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.