Hibiscus Palace Wellington LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HIBISCUS PALACE WELLINGTON LLC

Practice address

1074 Hyacinth PL Apt C
Wellington, FL 33414-2144

Phone

(561) 333-4179

Fax

(561) 909-1548

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Andrea Wright Mattis, MSN, RN

Title

Administrator

Phone

(561) 385-2532

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1770132755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 VIA LEONARDO",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675236",
            "telephone_number": "561-385-2532",
            "fax_number": "561-909-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 HYACINTH PL APT C",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142144",
            "telephone_number": "561-333-4179",
            "fax_number": "561-909-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS PALACE WELLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-385-2532",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellington",
            "affiliation": "N",
            "address_1": "1074 Hyacinth Pl Apt C",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334142144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danay Herrera, DO
• Heather Michelle Hershberger, APRN, FNP-C
• Jessica Jane Herz, LMHC
• Hibiscus Health Concepts LLC
• Hibiscus Palace II Assisted Living Facility LLC.
• Hillmoor Plaza Pharmacy Inc (IV Plus)
• Julie Rich Hilton, LCSW
• Bruce I Hindin, D.O.
• Jacqueline Ho Chan, PHARM D
• Bao Xuan Hoang, PA

• Assisted Living Facility in Wellington, FL
• Providers in Wellington, 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 Sep 11, 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.