All Stars Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9972 Issued in FL

Legal business name

ALL STARS ASSISTED LIVING

Practice address

1131 W Lake Brantley Rd
Altamonte Springs, FL 32714-2638

Phone

(407) 389-9930

Fax

(407) 389-0357

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert L Singh Sr.

Title

Administrator

Phone

(407) 389-9930

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1770740193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W LAKE BRANTLEY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142638",
            "telephone_number": "407-389-9930",
            "fax_number": "407-389-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W LAKE BRANTLEY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142638",
            "telephone_number": "407-389-9930",
            "fax_number": "407-389-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STARS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-389-9930",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688383400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142303700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 May 22, 2008; 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.