Shirose LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11811 Issued in FL

Legal business name

SHIROSE LLC

Practice address

6749 Arbor Dr
Miramar, FL 33023-4844

Phone

(954) 989-8137

Fax

(954) 239-8310

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Trevor S Kelly

Title

Adminsitrator

Phone

(954) 257-3629

Specialties & licenses 1

Addresses

Other names 1

• Arbor Manor ALf Doing business as

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1639489198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 ARBOR DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234844",
            "telephone_number": "954-989-8137",
            "fax_number": "954-239-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 ARBOR DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234844",
            "telephone_number": "954-989-8137",
            "fax_number": "954-239-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIROSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "954-257-3629",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Manor ALf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Miramar, FL
• Providers in Miramar, 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 Oct 18, 2010; 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.