Organization Active NPI

T & V Assisted Living Facility

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1437748407
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
T & V ASSISTED LIVING FACILITY
Practice address
2642 Fleming Ave SW
Palm Bay, FL 32908-4757
Phone
(954) 200-5642
NPI assigned
Jan 14, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Veronica Thomas
Title
Owner
Phone
(954) 200-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2642 Fleming Ave SW
Palm Bay, FL 32908-4757

Mailing address

2642 Fleming Ave SW
Palm Bay, FL 32908-4757
Phone (954) 200-5642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1437748407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 FLEMING AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329084757",
            "telephone_number": "954-200-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 FLEMING AVE SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329084757",
            "telephone_number": "954-200-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & V ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-200-5642"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.