Organization Active NPI

Norwood Assisted Living Inc.

  • Assisted Living Facility
  • Merritt Island, FL
National Provider Identifier
1487303582
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORWOOD ASSISTED LIVING INC.
Practice address
325 Norwood St
Merritt Island, FL 32953-4764
Phone
(321) 459-0530
Fax
(321) 459-0531
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mrs. Irene Tungol WilkersonNPI 1548887334
Title
Executive Director
Phone
(407) 715-7845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

325 Norwood St
Merritt Island, FL 32953-4764

Mailing address

325 Norwood St
Merritt Island, FL 32953-4764
Phone (321) 459-0530

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.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1487303582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NORWOOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534764",
            "telephone_number": "321-459-0530",
            "fax_number": "321-459-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NORWOOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534764",
            "telephone_number": "321-459-0530",
            "fax_number": "321-459-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWOOD ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "TUNGOL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-715-7845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.