Victirian Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11327 Issued in FL

Legal business name

VICTIRIAN ASSISTED LIVING FACILITY

Practice address

4610 NW 113TH Ter
Sunrise, FL 33323-1026

Phone

(772) 985-4791

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Dorothy Stoddarddaniels

Title

Administrator

Phone

(772) 985-4791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1679739833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 NW 113TH TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231026",
            "telephone_number": "772-985-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 NW 113TH TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231026",
            "telephone_number": "772-985-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTIRIAN ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "STODDARDDANIELS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-985-4791"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anyssa Verdin
• Arlane Vergara
• Dionne Okolo Lisa Vernon, DPT
• Janice Karen Veronese, MOTR
• Viviene Neriz Villanueva Vicedo
• Marlie Victor
• Daniel Alejandro Victoria
• Monica Vidal
• Estella Grace Viguilla
• Ruth Villalon, RN CCM

• Assisted Living Facility in Sunrise, FL
• Providers in Sunrise, 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 6, 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.