Organization Active NPI

A Paradise Home Alf III LLC

  • Assisted Living Facility
  • Lantana, FL
National Provider Identifier
1679063358
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
A PARADISE HOME ALF III LLC
Practice address
733 S 11TH St
Lantana, FL 33462-4303
Phone
(786) 486-9869
Fax
(954) 580-7092
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Ms. Julmine LouisNPI 1336347699
Title
Owner
Phone
(786) 486-9869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

733 S 11TH St
Lantana, FL 33462-4303

Mailing address

733 S 11TH St
Lantana, FL 33462-4303
Phone (786) 486-9869

Other identifiers 1

IdentifierTypeStateIssuer
OOOOOOOOMedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1679063358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 S 11TH ST",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624303",
            "telephone_number": "786-486-9869",
            "fax_number": "954-580-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 S 11TH ST",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624303",
            "telephone_number": "786-486-9869",
            "fax_number": "954-580-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PARADISE HOME ALF III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "JULMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-486-9869",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOOOOOOO",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.