The Trusttees of Advent Lutheran Church, Inc./Advent Squ

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11947 Issued in FL

Legal business name

THE TRUSTTEES OF ADVENT LUTHERAN CHURCH, INC./ADVENT SQU

Doing business as

Advent Square

Practice address

4798 N. Dixie Hwy
Boca Raton, FL 33431-5055

Phone

(561) 391-7207

Fax

(561) 544-1560

NPI assigned

Aug 28, 2013

Last updated

Mar 30, 2023By 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

Ms. Cecilia E Carroll

Title

Administrator

Phone

(561) 948-1738

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advent Square Doing business as

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1548694482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 N. DIXIE HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315055",
            "telephone_number": "561-391-7207",
            "fax_number": "561-544-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 N. DIXIE HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315055",
            "telephone_number": "561-391-7207",
            "fax_number": "561-544-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRUSTTEES OF ADVENT LUTHERAN CHURCH, INC./ADVENT SQU",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-948-1738",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105852000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advent Square",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advent Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Rebound Institute, LLC
• The Sanctuary of Wellness, LLC
• The Shoe Doctor, Inc.
• The Speech Path LLC
• The Spine Institute of Florida PLLC
• The Wisdom Way LLC
• Juliette The, M.D.
• Thekey Concierge Nursing, LLC
• Thema Brain Health Florida LLC
• Thema Medical, Inc. (Thema Medical)

• Assisted Living Facility in Boca Raton, FL
• Providers in Boca Raton, 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 Mar 30, 2023; 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.