Vizcaya Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11555 Issued in FL

Legal business name

VIZCAYA ALF INC

Doing business as

VIZCAYA BY THE SEA

Practice address

1621 N Ocean Blvd
Pompano Beach, FL 33062-3428

Phone

(954) 782-6822

Fax

(954) 782-6826

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Yury Lyudin

Title

President

Phone

(215) 432-3068

Specialties & licenses 1

Addresses

Other names 1

• VIZCAYA BY THE SEA Doing business as

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1487042834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N OCEAN BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623428",
            "telephone_number": "954-782-6822",
            "fax_number": "954-782-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N OCEAN BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623428",
            "telephone_number": "954-782-6822",
            "fax_number": "954-782-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIZCAYA ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "LYUDIN",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-432-3068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIZCAYA BY THE SEA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vital Shred
• Alexis Vitale
• Samantha Crystal Vitale, DMD
• Vitality Enterprises LLC
• Vivienne V. Tai, MD, PA
• Vizcaya by the Sea
• Haralambos Bob Vlahos, DMD
• Myrtha Volcy
• Lindsay Michelle Volz
• Daren Marc Voss, LMHC

• Assisted Living Facility in Pompano Beach, FL
• Providers in Pompano Beach, 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 7, 2015; 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.