Organization Active NPI

Pat'S Loving Care Alf Inc.

  • Assisted Living Facility
  • Port Orange, FL
National Provider Identifier
1508212010
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12818 Issued in FL
Legal business name
PAT'S LOVING CARE ALF INC.
Practice address
3783 Birch Mountain Rd
Port Orange, FL 32129-3770
Phone
(386) 275-5869
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Ms. Patricia Pearson
Title
President
Phone
(386) 275-5869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12818 FL Primary

Addresses

Primary practice location

3783 Birch Mountain Rd
Port Orange, FL 32129-3770

Mailing address

3783 Birch Mountain Rd
Port Orange, FL 32129-3770
Phone (386) 275-5869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1508212010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 BIRCH MOUNTAIN RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293770",
            "telephone_number": "386-275-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 BIRCH MOUNTAIN RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293770",
            "telephone_number": "386-275-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT'S LOVING CARE ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-275-5869",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.