Organization Active NPI

Tropical Haven, Inc.

  • Assisted Living Facility
  • Oakland Park, FL
National Provider Identifier
1700048196
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7480 Issued in FL
Legal business name
TROPICAL HAVEN, INC.
Practice address
460 NW 40TH CT
Oakland Park, FL 33309-5138
Phone
(954) 565-0022
Fax
(954) 565-7617
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Gary E Smith
Title
President
Phone
(954) 937-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7480 FL Primary

Addresses

Primary practice location

460 NW 40TH CT
Oakland Park, FL 33309-5138

Mailing address

5540 NW 49TH Way
Coconut Creek, FL 33073-3724
Phone (954) 937-5541

Other identifiers 1

IdentifierTypeStateIssuer
142419000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1700048196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 NW 49TH WAY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733724",
            "telephone_number": "954-937-5541",
            "fax_number": "954-596-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NW 40TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095138",
            "telephone_number": "954-565-0022",
            "fax_number": "954-565-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROPICAL HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-937-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142419000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.