Organization Active NPI

Orange Blossom Retirement Inc

Doing business as Orange Blossom Manor

  • Assisted Living Facility (Mental Illness)
  • Lincolnwood, IL
National Provider Identifier
1508808056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL5120 Issued in FL
Legal business name
ORANGE BLOSSOM RETIREMENT INC
Doing business as
Orange Blossom Manor
Practice address
3737 W Arthur Ave
Lincolnwood, IL 60712-4029
Phone
(847) 679-2121
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey Webster
Title
Pres
Phone
(847) 679-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL5120 FL Primary

Addresses

Primary practice location

3737 W Arthur Ave
Lincolnwood, IL 60712-4029

Mailing address

3535 SW 52ND Ave
Pembroke Park, FL 33023-5420
Phone (954) 961-8111

Other names 1

  • Orange Blossom Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508808056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SW 52ND AVE",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330235420",
            "telephone_number": "954-961-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 W ARTHUR AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124029",
            "telephone_number": "847-679-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BLOSSOM RETIREMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "847-679-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Blossom Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.