Delray Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF12300962 Issued in FL

Legal business name

DELRAY GROUP, LLC

Practice address

5430 Linton Blvd
Delray Beach, FL 33484-6512

Phone

(561) 495-3188

Fax

(561) 495-3190

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Robaina Jr.

Title

Reinbursement

Phone

(605) 864-9191

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LAKE VIEW CARE CENTER Doing business as

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1629065933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846512",
            "telephone_number": "561-495-3188",
            "fax_number": "561-495-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846512",
            "telephone_number": "561-495-3188",
            "fax_number": "561-495-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "REINBURSEMENT",
        "authorized_official_telephone_number": "605-864-9191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF12300962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0-229-610-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022961000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE VIEW CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Delray Family Dentistry P.a.
• Delray Harbor Medical Center Inc
• Delray Harbor Medical Center, LLC
• Delray Hearing Center, Inc.
• Delray Injury and Wellness LLC
• Delray Injury Center PLLC

• Skilled Nursing Facility in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.