Active NPI
Cayman Circle Adult Family Care
- Assisted Living Facility
- West Palm Beach, FL
National Provider Identifier
1710307079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 12609
- Legal business name
- CAYMAN CIRCLE ADULT FAMILY CARE
- Practice address
- 5843 Cayman Cir W
West Palm Beach, FL 33407-1853 - Phone
- (561) 512-8149
- NPI assigned
- Apr 24, 2014
- Last updated
- Sep 7, 2016
- 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
- Dorrett Scott
- Title
- Owner
- Phone
- (561) 512-8149
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 | 12609 | FL | Primary |
Addresses
Primary practice location
5843 Cayman Cir W
West Palm Beach, FL 33407-1853
Mailing address
5843 Cayman Cir W
West Palm Beach, FL 33407-1853
Phone (561) 512-8149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011712300 | Medicaid | FL | |
| 12609 | Other | FL | STATE LICENSE |
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.
-
- Assisted Living Facility
- Riviera Beach, FL
- NPI 1003422288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1710307079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5843 CAYMAN CIR W",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334071853",
"telephone_number": "561-512-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5843 CAYMAN CIR W",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334071853",
"telephone_number": "561-512-8149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAYMAN CIRCLE ADULT FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-24",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "DORRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-512-8149"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "12609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011712300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "12609",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.