Organization Active NPI

Colonial Assisted Living at Boca Raton, LLC

  • Assisted Living Facility
  • Boca Raton, FL
National Provider Identifier
1447101571
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COLONIAL ASSISTED LIVING AT BOCA RATON, LLC
Practice address
1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone
(954) 600-6333
NPI assigned
Feb 5, 2026
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Ricki KanetiNPI 1891675732
Title
Founder
Phone
(954) 600-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1080 NW 15TH St
Boca Raton, FL 33486-1331

Mailing address

4901 NW 17TH Way Ste 303
Fort Lauderdale, FL 33309-3772
Phone (954) 600-6333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1447101571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NW 17TH WAY STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093772",
            "telephone_number": "954-600-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NW 15TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861331",
            "telephone_number": "954-600-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL ASSISTED LIVING AT BOCA RATON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "954-600-6333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2026; 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.