Organization Active NPI

Shangri-la at Riviera Alf LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1609629658
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Apr 9, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.