Organization Active NPI

Angel House

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1629373410
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANGEL HOUSE
Practice address
10810 NW 20TH St
Pembroke Pines, FL 33026-2224
Phone
(954) 483-7300
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Mrs. Doreen Campbell
Title
Owner
Phone
(954) 483-7300

Specialties & licenses 1

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

Addresses

Primary practice location

10810 NW 20TH St
Pembroke Pines, FL 33026-2224

Mailing address

10810 NW 20TH St
Pembroke Pines, FL 33026-2224
Phone (954) 483-7300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1629373410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 NW 20TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262224",
            "telephone_number": "954-483-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 NW 20TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262224",
            "telephone_number": "954-483-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-483-7300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.