Organization Active NPI

Amazing Gace Assisted Living Home

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1497097638
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12171 Issued in FL
Legal business name
AMAZING GACE ASSISTED LIVING HOME
Practice address
2685 Carambola Rd
West Palm Beach, FL 33406-5106
Phone
(561) 357-9559
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Deborah Lytle
Title
Owner/Administrator
Phone
(561) 818-5790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12171 FL Primary

Addresses

Primary practice location

2685 Carambola Rd
West Palm Beach, FL 33406-5106

Mailing address

2685 Carambola Rd
West Palm Beach, FL 33406-5106

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": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1497097638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 CARAMBOLA RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 CARAMBOLA RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065106",
            "telephone_number": "561-357-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GACE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "LYTLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-818-5790"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.