Organization Active NPI

All One Family Dolphin Inc

  • Assisted Living Facility
  • Merritt Island, FL
National Provider Identifier
1538505672
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12201 Issued in FL
Legal business name
ALL ONE FAMILY DOLPHIN INC
Practice address
1405 Dolphin Ave
Merritt Island, FL 32952-5721
Phone
(321) 453-6577
Fax
(321) 453-7761
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Ms. Karen Ann Wilkes
Title
Administrator
Phone
(321) 453-6577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12201 FL Primary

Addresses

Primary practice location

1405 Dolphin Ave
Merritt Island, FL 32952-5721

Mailing address

585 N Courtenay Pkwy
Merritt Island, FL 32953-4854
Phone (321) 453-6577

National Provider Directory

National Provider Directory

Locations

585 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 453-6577

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1538505672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534854",
            "telephone_number": "321-453-6577",
            "fax_number": "321-453-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 DOLPHIN AVE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525721",
            "telephone_number": "321-453-6577",
            "fax_number": "321-453-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ONE FAMILY DOLPHIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-453-6577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.