Islf Regents Park Winter Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1469096 Issued in FL

Legal business name

ISLF REGENTS PARK WINTER PARK LLC

Doing business as

Regents Park of Winter Park

Practice address

558 N Semoran Blvd
Winter Park, FL 32792-2840

Phone

(407) 679-1515

Fax

(407) 679-0545

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Howard Jaffe

Title

President

Phone

(215) 346-6454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regents Park of Winter Park Doing business as

Locations

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1750385308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012110",
            "telephone_number": "561-801-7600",
            "fax_number": "414-268-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922840",
            "telephone_number": "407-679-1515",
            "fax_number": "407-679-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLF REGENTS PARK WINTER PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1469096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026971900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regents Park of Winter Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regents Park of Winter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystal Andrea Irizarry, M.D.
• Elizabeth Ironbar, OTR
• Jessica Mercer Irvin, ARNP, CPNP
• Irving S Kolin MD PA
• Michelle Isla, LM
• Islf-Regents Park of Winter Park LLC
• Andras Iso, M.D.
• Sakina Issa, M.A
• Nisy Itty, M.H.S, CRC
• Courtney Lynn Ivan, ATC, LAT

• Skilled Nursing Facility in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.