NPIMap

Organization Active NPI

A&M Assisted Living Facility II

  • Assisted Living Facility
  • West Melbourne, FL
National Provider Identifier
1619371150
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11516 Issued in FL
Legal business name
A&M ASSISTED LIVING FACILITY II
Practice address
2180 Stratford Pointe Dr
West Melbourne, FL 32904-8008
Phone
(321) 604-8853
NPI assigned
Oct 13, 2014
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Marlene Gilliard
Title
Owner
Phone
(321) 604-8853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11516 FL Primary

Addresses

Primary practice location

2180 Stratford Pointe Dr
West Melbourne, FL 32904-8008

Mailing address

2180 Stratford Pointe Dr
West Melbourne, FL 32904-8008
Phone (321) 604-8853

National Provider Directory

National Provider Directory
Tax ID family
A M Assisted Living Facility 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.

Locations

2180 Stratford Pointe Dr
West Melbourne, FL 32904
Phone (321) 604-8853

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1619371150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 STRATFORD POINTE DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048008",
            "telephone_number": "321-604-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 STRATFORD POINTE DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048008",
            "telephone_number": "321-604-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M ASSISTED LIVING FACILITY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "GILLIARD",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-604-8853"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.