NPIMap

Organization Active NPI

Angelsonyourshoulder

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1750624250
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12257 Issued in FL
Legal business name
ANGELSONYOURSHOULDER
Practice address
487 Godfrey Rd SE
Palm Bay, FL 32909-8861
Phone
(321) 914-0755
Fax
(321) 327-8571
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Yolly M Scharoun
Title
Owner
Phone
(321) 501-9056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12257 FL Primary

Addresses

Primary practice location

487 Godfrey Rd SE
Palm Bay, FL 32909-8861

Mailing address

487 Godfrey Rd SE
Palm Bay, FL 32909-8861
Phone (321) 914-0755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1750624250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 GODFREY RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098861",
            "telephone_number": "321-914-0755",
            "fax_number": "321-327-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 GODFREY RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098861",
            "telephone_number": "321-914-0755",
            "fax_number": "321-327-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELSONYOURSHOULDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "SCHAROUN",
        "authorized_official_first_name": "YOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-501-9056"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.