Fullness of Love Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11157 Issued in FL

Legal business name

FULLNESS OF LOVE ASSISTED LIVING FACILITY

Practice address

3405 Knolls Rd
Miramar, FL 33025-2813

Phone

(954) 435-0354

NPI assigned

Apr 19, 2013

Organization subpart

No

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

Authorized official

Name

Mac McKoy

Title

Vice President

Phone

(954) 435-0354

Specialties & licenses 1

Addresses

Other names 1

• fullness of love alf Other name

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1770927865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KNOLLS RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252813",
            "telephone_number": "954-435-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KNOLLS RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252813",
            "telephone_number": "954-435-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLNESS OF LOVE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "MCKOY",
        "authorized_official_first_name": "MAC",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-435-0354"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "fullness of love alf",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Friman Family LLC
• Patrick Frost, MD
• Leonardo Alexis Fuente Valdivia, RBT
• Alina B Fuentes
• Full of Life, LLC
• Maithili Fulton, M.D.
• Danisleidys Fundora, APRN
• Randi Alissa Futterman
• FXM Clinical Research Miramar
• FXM Research Miramar, Inc.

• Assisted Living Facility in Miramar, FL
• Providers in Miramar, 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 19, 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.