Royal Palm Residence Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13112 Issued in FL

Legal business name

ROYAL PALM RESIDENCE INC

Practice address

1961 SW 70TH Ave
Plantation, FL 33317-5032

Phone

(954) 920-0990

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Scot A Bennett

Title

Administrator

Phone

(954) 920-0990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1417440561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 S OCEAN DR APT 302S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192716",
            "telephone_number": "954-920-0990",
            "fax_number": "954-920-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 SW 70TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175032",
            "telephone_number": "954-920-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-920-0990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024200900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royal Living Alf Inc.
• Royal Palm Beach Rehab Corp
• Royal Palm Beach Rehab, Corp.
• Royal Palm Beach Rehab, Corp.
• Royal Palm Beach Rehab, Corp.
• Rozalyn H. Paschal MD
• Stephanie Ruas, APRN
• Carol Maselli Ruback, M.S., CCC-SLP
• Michael Rubenstein
• Alexis Rubin, OTR/L

• Assisted Living Facility in Plantation, FL
• Providers in Plantation, 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 Jun 13, 2018; 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.