Active NPI
Shirley House Alf,Inc
- Assisted Living Facility
- Lake Worth, FL
National Provider Identifier
1679947733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12762
- Legal business name
- SHIRLEY HOUSE ALF,INC
- Practice address
- 1422 Shirley CT
Lake Worth, FL 33461-6015 - Phone
- (561) 410-5672
- Fax
- (561) 410-5778
- NPI assigned
- Nov 30, 2015
- Last updated
- Nov 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria T Santana
- Title
- Administrator
- Phone
- (561) 891-3095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12762 | FL | Primary |
Addresses
Primary practice location
1422 Shirley CT
Lake Worth, FL 33461-6015
Mailing address
1422 Shirley CT
Lake Worth, FL 33461-6015
Phone (561) 410-5672
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Day Care Clinic/Center
- Palm Springs, FL
- NPI 1386068963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448841600000",
"number": "1679947733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 SHIRLEY CT",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334616015",
"telephone_number": "561-410-5672",
"fax_number": "561-410-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 SHIRLEY CT",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334616015",
"telephone_number": "561-410-5672",
"fax_number": "561-410-5778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY HOUSE ALF,INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-30",
"last_updated": "2015-11-30",
"status": "A",
"authorized_official_last_name": "SANTANA",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "561-891-3095"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL12762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
- Robin Ilana Shecter, DO
- Karen Shelby Hodish, D.C.
- Marc William Sheridan, DDS
- Michael A Sherling, M.D.
- Jana B Shiffert, LCSW
- Megan Ellingburg Shirley, D.O.
- Morris Shlamowitz, MD
- Kimberly Lauren Shmunes, PHARM D
- Christina Lynn Shovick, ARNP
- Shtulman Family Chiropractic, PA (Shtulman Family Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.