621 Plantation Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

621 PLANTATION ALF LLC

Doing business as

AFH Senior Care Plantation

Practice address

621 NW 76TH Ave
Plantation, FL 33324-1440

Phone

(845) 596-2743

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Schiller

Title

Member

Phone

(845) 596-2743

Specialties & licenses 1

Addresses

Other names 1

• AFH Senior Care Plantation Doing business as

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1669176756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD STE 605",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 76TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241440",
            "telephone_number": "845-596-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "621 PLANTATION ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-596-2743"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFH Senior Care Plantation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.