Lake Alfred Assisted Living and Retirement Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10511 Issued in FL

Legal business name

LAKE ALFRED ASSISTED LIVING AND RETIREMENT HOME, INC.

Practice address

3101 Archer Ave
Orlando, FL 32833-4365

Phone

(407) 963-8777

Fax

(407) 568-5999

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arnulfo Salgado Simondac

Title

President/Administrator

Phone

(863) 956-8831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1598943607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W HAINES BLVD",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502718",
            "telephone_number": "863-956-8831",
            "fax_number": "863-956-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 ARCHER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328334365",
            "telephone_number": "407-963-8777",
            "fax_number": "407-568-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ALFRED ASSISTED LIVING AND RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SIMONDAC",
        "authorized_official_first_name": "ARNULFO",
        "authorized_official_middle_name": "SALGADO",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "863-956-8831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.