Active NPI
Jennifer Lubin
- Assisted Living Facility
- Deerfield Beach, FL
National Provider Identifier
1770166217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11969771
- Practice address
- 242 NE 42ND St
Deerfield Beach, FL 33064-3522 - Phone
- (561) 809-5627
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Assisted Living Facility | 310400000X | AL11969771 | FL | Primary |
| Interpreter | 171R00000X | |||
| Driver | 172A00000X | |||
| Meals Provider | 174200000X | |||
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
242 NE 42ND St
Deerfield Beach, FL 33064-3522
Mailing address
242 NE 42ND St
Deerfield Beach, FL 33064-3522
Phone (561) 809-5627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL11969771 | Other | FL | AHCA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | location | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL11969771 | FL | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assisted Living & Adult Care LLC | Meals | Current | Accepting new patients |
| Blue Falcon Brokerage | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Transportation Network Company
- Deerfield Beach, FL
- NPI 1861205072
Non-Emergency Medical Transport (Van)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1770166217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 NE 42ND ST",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330643522",
"telephone_number": "561-809-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 NE 42ND ST",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330643522",
"telephone_number": "561-809-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBIN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL11969771",
"primary": true
},
{
"code": "171R00000X",
"taxonomy_group": "",
"desc": "Interpreter",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "AL11969771",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "location",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "242 NE 42nd St",
"city": "Deerfield Beach",
"state": "FL",
"country_code": "US",
"postal_code": "330643522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.