Organization Active NPI

Mama Lllama LLC, MG

  • Assisted Living Facility
  • Wellington, FL
National Provider Identifier
1659158558
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MAMA LLLAMA LLC, MG
Practice address
13931 Morning Glory Dr
Wellington, FL 33414-8645
Phone
(561) 333-4179
Fax
(561) 331-2513
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Allison Underwood
Title
Administrator
Phone
(561) 333-4179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

13931 Morning Glory Dr
Wellington, FL 33414-8645

Mailing address

1074 Hyacinth PL
Wellington, FL 33414-2144
Phone (561) 333-4179

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1659158558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 HYACINTH PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142144",
            "telephone_number": "561-333-4179",
            "fax_number": "561-331-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13931 MORNING GLORY DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148645",
            "telephone_number": "561-333-4179",
            "fax_number": "561-331-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA LLLAMA LLC, MG",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-333-4179"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.