Active NPI
Shangri-la at Riviera Alf LLC
- Assisted Living Facility
- Palm Bay, FL
National Provider Identifier
1609629658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SHANGRI-LA AT RIVIERA ALF LLC
- Practice address
- 868 Riviera Dr NE
Palm Bay, FL 32905-4438 - Phone
- (321) 327-5458
- Fax
- (321) 676-8271
- NPI assigned
- Apr 9, 2024
- 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
- Mr. Ernest Roger Lapointe
- Title
- Asst. Administrator
- Phone
- (321) 507-8722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
868 Riviera Dr NE
Palm Bay, FL 32905-4438
Mailing address
132 Ascend Cir Unit 9103
West Melbourne, FL 32904-8751
Phone (321) 507-8722
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1609629658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 ASCEND CIR UNIT 9103",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329048751",
"telephone_number": "321-507-8722",
"fax_number": "321-821-1395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 RIVIERA DR NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054438",
"telephone_number": "321-327-5458",
"fax_number": "321-676-8271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANGRI-LA AT RIVIERA ALF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "LAPOINTE",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "ASST. ADMINISTRATOR",
"authorized_official_telephone_number": "321-507-8722",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.