Pompano House South Operation LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

POMPANO HOUSE SOUTH OPERATION LLC

Practice address

350 W Haines Blvd
Lake Alfred, FL 33850-2718

Phone

(863) 956-8831

Fax

(863) 954-9141

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Asher Silverberg

Title

Owner

Phone

(917) 232-8638

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1659041382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W HAINES BLVD",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502718",
            "telephone_number": "863-956-8831",
            "fax_number": "863-954-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W HAINES BLVD",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502718",
            "telephone_number": "863-956-8831",
            "fax_number": "863-954-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO HOUSE SOUTH OPERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "SILVERBERG",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-232-8638"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "10511",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lake Alfred, FL
• Providers in Lake Alfred, 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 Sep 14, 2021; 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.