Active NPI
Jubilee Assisted Living of Florida, LLC
- Assisted Living Facility
- Weston, FL
National Provider Identifier
1558720847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL12901 | Other | FL | AHCA |
National Provider Directory
National Provider Directory- Tax ID family
- Jubilee Assisted Living of Florida LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Southwest Ranches, FL
- NPI 1609203934
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.