Organization Active NPI

Jubilee Assisted Living of Florida, LLC

  • Assisted Living Facility
  • Weston, FL
National Provider Identifier
1558720847
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JUBILEE ASSISTED LIVING OF FLORIDA, LLC
Practice address
16639 Redwood Way
Weston, FL 33326-1512
Phone
(954) 394-9118
Fax
(954) 944-1976
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Erica J Scardefield
Title
Owner / Administrator
Phone
(954) 394-9118

Specialties & licenses 1

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

Addresses

Primary practice location

16639 Redwood Way
Weston, FL 33326-1512

Mailing address

16639 Redwood Way
Weston, FL 33326-1512
Phone (954) 394-9118

Other identifiers 1

IdentifierTypeStateIssuer
AL12901OtherFLAHCA

National Provider Directory

National Provider Directory
Tax ID family
Jubilee Assisted Living of Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1558720847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16639 REDWOOD WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261512",
            "telephone_number": "954-394-9118",
            "fax_number": "954-944-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16639 REDWOOD WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261512",
            "telephone_number": "954-394-9118",
            "fax_number": "954-944-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE ASSISTED LIVING OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "SCARDEFIELD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "954-394-9118"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL12901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.