Organization Active NPI

Shirley House Alf,Inc

  • Assisted Living Facility
  • Lake Worth, FL
National Provider Identifier
1679947733
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12762 Issued in FL
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

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

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.

Verify at the official NPI Registry.