NPIMap

Organization Active NPI

Annie'S Retirement Home, Inc.

  • Assisted Living Facility
  • Fort Lauderdale, FL
National Provider Identifier
1649629528
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8184 Issued in FL
Legal business name
ANNIE'S RETIREMENT HOME, INC.
Practice address
1650 NE 62ND St
Fort Lauderdale, FL 33334-5140
Phone
(954) 772-6551
NPI assigned
Jun 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Mrs. Ana Maria Llaza
Title
Administrator
Phone
(954) 772-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8184 FL Primary

Addresses

Primary practice location

1650 NE 62ND St
Fort Lauderdale, FL 33334-5140

Mailing address

1650 NE 62ND Street
Fort Lauderdale, FL 33334
Phone (954) 772-6551

Other identifiers 1

IdentifierTypeStateIssuer
017156100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1649629528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 NE 62ND STREET",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-772-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 NE 62ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333345140",
            "telephone_number": "954-772-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE'S RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "LLAZA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-772-6551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017156100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 2016; 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.