Compassionate Care Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12276 Issued in FL

Legal business name

COMPASSIONATE CARE ALF LLC

Practice address

302 Bordeaux Ave NE
Palm Bay, FL 32907-3268

Phone

(321) 345-4039

Fax

(321) 345-4039

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Viviane Marcellus

Title

Administrator

Phone

(321) 821-8420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1659614550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BORDEAUX AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073268",
            "telephone_number": "321-345-4039",
            "fax_number": "321-345-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BORDEAUX AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073268",
            "telephone_number": "321-345-4039",
            "fax_number": "321-345-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "MARCELLUS",
        "authorized_official_first_name": "VIVIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-821-8420"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, 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 Mar 29, 2013; 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.