Organization Active NPI

Mediterranean Assisted Living Facility Corp

  • Assisted Living Facility
  • Lake Worth, FL
National Provider Identifier
1477170553
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MEDITERRANEAN ASSISTED LIVING FACILITY CORP
Practice address
4427 Mediterranean Rd
Lake Worth, FL 33461-1771
Phone
(561) 670-2929
Fax
(561) 670-2976
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Jose Linares
Title
Owner
Phone
(786) 863-7790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4427 Mediterranean Rd
Lake Worth, FL 33461-1771

Mailing address

4427 Mediterranean Rd
Lake Worth, FL 33461-1771
Phone (561) 670-2929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1477170553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 MEDITERRANEAN RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334611771",
            "telephone_number": "561-670-2929",
            "fax_number": "561-670-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 MEDITERRANEAN RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334611771",
            "telephone_number": "561-670-2929",
            "fax_number": "561-670-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITERRANEAN ASSISTED LIVING FACILITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "LINARES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-863-7790"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.