Colonial Assisted Living at Fort Lauderdale, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7249 Issued in FL

Legal business name

COLONIAL ASSISTED LIVING AT FORT LAUDERDALE, LLC

Practice address

2801 NW 55TH Ave
Lauderhill, FL 33313-2509

Phone

(954) 283-1048

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Ricki Kaneti

Title

Manager

Phone

(954) 600-6333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1487156196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ROSEMARY AVE STE 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015746",
            "telephone_number": "954-283-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 55TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132509",
            "telephone_number": "954-283-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL ASSISTED LIVING AT FORT LAUDERDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-600-6333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardo Coelho
• Madison Gabrielle Coffey
• Sanique Cashane Cole Stephens, APRN
• Justin R Coleman, DC
• Lea Kerlinda Coley
• Colonial Gardens Residences LLC
• Tina Colson, HOME HEALTH AIDE
• Community Blood Centers of South Florida, Inc.
• Community Connections for Life, Inc
• Arlene Cynthia Compass

• Assisted Living Facility in Lauderhill, FL
• Providers in Lauderhill, 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 Mar 8, 2018; 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.