Amwil Assisted Living

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

AL9975 Issued in FL

Legal business name

AMWIL ASSISTED LIVING

Practice address

840 SW 8TH St
Pompano Beach, FL 33060-8214

Phone

(954) 943-4606

Fax

(954) 943-5016

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Antonietta Bancolita Llanes

Title

Business Manager

Phone

(954) 943-4606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1497939417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SW 8TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608214",
            "telephone_number": "954-943-4606",
            "fax_number": "954-943-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW 8TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608214",
            "telephone_number": "954-943-4606",
            "fax_number": "954-943-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMWIL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "ANTONIETTA",
        "authorized_official_middle_name": "BANCOLITA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "954-943-4606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "AL9975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amicus Medical Center LLC
• Amicus Medical Center LLC
• Amicus Medical Center LLC
• Yeiza Amit, LCSW
• Amstaff Services, Inc.
• Valerie Anastasi
• Anchor of Hope Wellness Corp
• Tawanna Anderson-Leader, APRN, NP-C
• Cheyenne Elizabeth Anderson
• Elizabeth Kathleen Anderson

• Health Maintenance Organization in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.