Shangri-la of Palm Bay Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHANGRI-LA OF PALM BAY ALF, LLC

Practice address

3604 Jupiter Blvd. SE
Palm Bay, FL 32909

Phone

(954) 937-8224

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Veronique Marie Sturm

Title

Owner Manager

Phone

(954) 937-8224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1447881297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 DIXIE HWY NE UNIT 503",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329056083",
            "telephone_number": "321-728-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 JUPITER BLVD. SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32909",
            "telephone_number": "954-937-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA OF PALM BAY ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "STURM",
        "authorized_official_first_name": "VERONIQUE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "954-937-8224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shangri-la Alf, LLC
• Shangri-la at Lockmar Alf LLC
• Shangri-la at Riviera Alf LLC
• Shangri-la II Alf LLC
• Shangri-la III Alf LLC
• Zafar Iqbal Sharar, M.D.
• Sharon Pell LCSW
• William H Sherard, D.C.
• Sheron Frater
• Sheryl Welton, LCSW

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, 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 Jan 30, 2020; 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.