NPIMap

Organization Active NPI

Cref3 FSLP Boca Raton Owner LLC

  • Assisted Living Facility
  • Boca Raton, FL
National Provider Identifier
1427632546
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CREF3 FSLP BOCA RATON OWNER LLC
Practice address
9591 Yamato Rd
Boca Raton, FL 33434-5549
Phone
(561) 477-8808
Fax
(561) 477-1665
NPI assigned
May 6, 2021
Organization subpart
Yes
Parent organization
CREF3 FSLP PORTFOLIO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Bryce William Robinson
Title
Sr. Regional Director of Operations
Phone
(239) 938-6414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9591 Yamato Rd
Boca Raton, FL 33434-5549

Mailing address

1 Market PLZ FL 42
San Francisco, CA 94105-1126

Other names 1

  • Sonata Boca Raton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cref3 FSLP Portfolio LLC3 organizations share this tax ID, including this one
Part of
Cref3 FSLP Portfolio LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1427632546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARKET PLZ FL 42",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9591 YAMATO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345549",
            "telephone_number": "561-477-8808",
            "fax_number": "561-477-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREF3 FSLP BOCA RATON OWNER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREF3 FSLP PORTFOLIO LLC",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-03-11",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SR. REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "239-938-6414"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonata Boca Raton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sonata Boca Raton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.