Organization Active NPI

Gordon Heights, Inc

  • Adult Care Home Facility
  • Tamarac, FL
National Provider Identifier
1598075053
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6905948 Issued in FL
Legal business name
GORDON HEIGHTS, INC
Practice address
9500 NW 80TH St
Tamarac, FL 33321-1306
Phone
(954) 721-4309
Fax
(954) 720-6734
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Sylvia Rose Gordon
Title
Owner
Phone
(954) 721-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6905948 FL Primary

Addresses

Primary practice location

9500 NW 80TH St
Tamarac, FL 33321-1306

Mailing address

9500 NW 80TH St
Tamarac, FL 33321-1306
Phone (954) 721-4309

National Provider Directory

National Provider Directory
Tax ID family
Gordon Heights Inc2 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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1598075053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 NW 80TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211306",
            "telephone_number": "954-721-4309",
            "fax_number": "954-720-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 NW 80TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211306",
            "telephone_number": "954-721-4309",
            "fax_number": "954-720-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON HEIGHTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-721-4309"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.