Organization Active NPI

Saint Cyril the Great LLC

Doing business as saint cyril the great

  • Assisted Living Facility
  • Fort Lauderdale, FL
National Provider Identifier
1639692486
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13030 Issued in FL
Legal business name
SAINT CYRIL THE GREAT LLC
Doing business as
saint cyril the great
Practice address
4580 SW 33Rd Ave
Fort Lauderdale, FL 33312-5504
Phone
(954) 647-8859
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Authorized official

Name
David Guirguis
Title
Manager
Phone
(954) 647-8859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13030 FL Primary

Addresses

Primary practice location

4580 SW 33Rd Ave
Fort Lauderdale, FL 33312-5504

Mailing address

4580 SW 33Rd Ave
Fort Lauderdale, FL 33312-5504
Phone (954) 647-8859

Other names 1

  • saint cyril the great Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1639692486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 SW 33RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125504",
            "telephone_number": "954-647-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 SW 33RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125504",
            "telephone_number": "954-647-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CYRIL THE GREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-647-8859"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "saint cyril the great",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.