Assisted Lovely Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12837 Issued in FL

Legal business name

ASSISTED LOVELY LIVING FACILITY LLC

Practice address

1702 Trimble Rd
Melbourne, FL 32934-9034

Phone

(321) 984-8882

NPI assigned

Jul 5, 2016

Last updated

Jul 5, 2016By 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

Miss Renita Buchanan

Title

Administrator/Owner

Phone

(321) 984-8882

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1619329422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 MISTY WAY LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329351455",
            "telephone_number": "321-984-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 TRIMBLE RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329349034",
            "telephone_number": "321-984-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LOVELY LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "RENITA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "321-984-8882",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA",
            "identifier": "AL12837",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, 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 Jul 5, 2016; 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.