La Poinciana Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LA POINCIANA ALF, LLC

Practice address

200 Poinciana Ave
Port Orange, FL 32127-6318

Phone

(386) 310-4558

Fax

(386) 304-2115

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Carmelle Laporte, NURSE

Title

Owner / Administrator

Phone

(386) 310-4558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699168468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POINCIANA AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276318",
            "telephone_number": "386-310-4558",
            "fax_number": "386-304-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 POINCIANA AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276318",
            "telephone_number": "386-310-4558",
            "fax_number": "386-304-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA POINCIANA ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAPORTE",
        "authorized_official_first_name": "CARMELLE",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "386-310-4558",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin K Kupps, M.S.
• Robert William Kurrle, M.D.
• John Kwak-Hefferan
• Erin Kwiatkowski
• L & L Port Orange, LLC (Kevin Marvin)
• Shawn Michael Lacourt, DC
• Brenda Laflamme
• Rachelle Lafountain
• Elaine Lagarce
• Misty Dawn Lagasse, D.C.

• Assisted Living Facility in Port Orange, FL
• Providers in Port Orange, 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 Jul 21, 2022; 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.