Organization Active NPI

Orange Blossoms Villa IV

  • Assisted Living Facility
  • Royal Palm Beach, FL
National Provider Identifier
1548765019
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12552 Issued in FL
Legal business name
ORANGE BLOSSOMS VILLA IV
Practice address
121 Martin Cir
Royal Palm Beach, FL 33411-1708
Phone
(561) 762-1492
Fax
(561) 282-6892
NPI assigned
Mar 27, 2018
Organization subpart
Yes
Parent organization
ORANGE BLOSSOMS VILLA IIIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Mrs. Maria Anna Cummings
Title
Owner
Phone
(561) 762-1492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12552 FL Primary

Addresses

Primary practice location

121 Martin Cir
Royal Palm Beach, FL 33411-1708

Mailing address

121 Martin Cir
Royal Palm Beach, FL 33411-1708
Phone (561) 762-1492

National Provider Directory

National Provider Directory
Tax ID family
Orange Blossoms Villa III LLC2 organizations share this tax ID, including this one
Part of
Orange Blossoms Villa III LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1548765019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARTIN CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111708",
            "telephone_number": "561-762-1492",
            "fax_number": "561-282-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MARTIN CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111708",
            "telephone_number": "561-762-1492",
            "fax_number": "561-282-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BLOSSOMS VILLA IV",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORANGE BLOSSOMS VILLA III",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-762-1492",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.