Mobat Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10028 Issued in FL

Legal business name

MOBAT INC

Practice address

504 3Rd Ave S
Lake Worth, FL 33460-4502

Phone

(561) 585-4695

Fax

(561) 585-1737

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sewsankar Carpen Rengasawmy

Title

Administrator/Owner

Phone

(561) 585-4695

Specialties & licenses 1

Addresses

Other names 1

• CrestManor Assisted Living Doing business as

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1659528271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 3RD AVE S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604502",
            "telephone_number": "561-585-4695",
            "fax_number": "561-585-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 3RD AVE S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604502",
            "telephone_number": "561-585-4695",
            "fax_number": "561-585-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "RENGASAWMY",
        "authorized_official_first_name": "SEWSANKAR",
        "authorized_official_middle_name": "CARPEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "561-585-4695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrestManor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lake Worth, FL
• Providers in Lake Worth, 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 Aug 26, 2008; 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.