The Elite Manor, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12156 Issued in FL

Legal business name

THE ELITE MANOR, INC.

Practice address

22022 Martella Ave
Boca Raton, FL 33433-4631

Phone

(954) 839-4791

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Petrinea A Mattis

Title

Administrator

Phone

(954) 839-4791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1770927527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22022 MARTELLA AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334631",
            "telephone_number": "954-839-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22022 MARTELLA AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334631",
            "telephone_number": "954-839-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELITE MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "PETRINEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-839-4791"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Boca Raton, FL
• Providers in Boca Raton, 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 Apr 23, 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.