Hibiscus Palace III Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11708 Issued in FL

Legal business name

HIBISCUS PALACE III ASSISTED LIVING FACILITY

Practice address

113 Meadow Woode Dr
Royal Palm Beach, FL 33411-4720

Phone

(561) 793-7553

Fax

(561) 909-1548

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Andrea Mattis

Title

Administrator

Phone

(561) 385-2532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1508363474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 VIA LEONARDO",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675236",
            "telephone_number": "561-385-2532",
            "fax_number": "561-909-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MEADOW WOODE DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114720",
            "telephone_number": "561-793-7553",
            "fax_number": "561-909-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS PALACE III ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-385-2532"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Royal Palm Beach, FL
• Providers in Royal Palm Beach, 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 Apr 9, 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.