Senior Housing Management Provider LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7617 Issued in FL

Legal business name

SENIOR HOUSING MANAGEMENT PROVIDER LLC

Practice address

534 Datura St
West Palm Beach, FL 33401-5308

Phone

(561) 659-9330

Fax

(561) 659-0732

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Ricki Kaneti

Title

Executive Director

Phone

(561) 659-9330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1730311556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 DATURA ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015308",
            "telephone_number": "561-659-9330",
            "fax_number": "561-659-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 DATURA ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015308",
            "telephone_number": "561-659-9330",
            "fax_number": "561-659-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HOUSING MANAGEMENT PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-659-9330"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, 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 Aug 12, 2009; 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.