Organization Active NPI

BH of Coral Springs LLC

  • Assisted Living Facility
  • Coral Springs, FL
National Provider Identifier
1578144408
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BH OF CORAL SPRINGS LLC
Practice address
8664 NW 1St St
Coral Springs, FL 33071-7508
Phone
(917) 351-4032
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Alex Gadilov
Title
Owner
Phone
(917) 351-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8664 NW 1St St
Coral Springs, FL 33071-7508

Mailing address

8664 NW 1St St
Coral Springs, FL 33071-7508
Phone (917) 351-4032

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1578144408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8664 NW 1ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717508",
            "telephone_number": "917-351-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8664 NW 1ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717508",
            "telephone_number": "917-351-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH OF CORAL SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "GADILOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-351-4032"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.