Allcia LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12741 Issued in FL

Legal business name

ALLCIA LLC

Practice address

4457 Parkway Dr
Melbourne, FL 32934-7767

Phone

(321) 610-3686

Fax

(321) 600-4006

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Marcia Rose

Title

Administrator

Phone

(321) 693-9355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1770948853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 PARKWAY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 PARKWAY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347767",
            "telephone_number": "321-610-3686",
            "fax_number": "321-600-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-693-9355"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Melbourne, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.