Vip Care Pavilion, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VIP CARE PAVILION, LLC

Practice address

6810 SW 7TH Street
Margate, FL 33068-2404

Phone

(954) 971-2286

NPI assigned

Mar 21, 2018

Organization subpart

No

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

Authorized official

Name

Pilar Carvajal

Title

Agent

Phone

(800) 475-9914

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1437653789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 SW 7TH STREET",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330682404",
            "telephone_number": "954-971-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 SW 7TH STREET",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330682404",
            "telephone_number": "954-971-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP CARE PAVILION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "PILAR",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "800-475-9914"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "4783",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE NUMBER",
            "identifier": "4783",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Margate, FL
• Providers in Margate, 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 May 17, 2019; 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.