NPIMap

Organization Active NPI

Betsy's Loving Home Inc

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1780029553
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11079 Issued in FL
Legal business name
BETSY'S LOVING HOME INC
Practice address
309 SW 68TH Ave
Pembroke Pines, FL 33023-1134
Phone
(954) 854-7389
Fax
(954) 854-7389
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Ms. Betsy Joseph
Title
Owner
Phone
(954) 854-7389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11079 FL Primary

Addresses

Primary practice location

309 SW 68TH Ave
Pembroke Pines, FL 33023-1134

Mailing address

309 SW 68TH Ave
Pembroke Pines, FL 33023-1134
Phone (954) 854-7389

Other identifiers 1

IdentifierTypeStateIssuer
002853000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1780029553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SW 68TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231134",
            "telephone_number": "954-854-7389",
            "fax_number": "954-854-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SW 68TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231134",
            "telephone_number": "954-854-7389",
            "fax_number": "954-854-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY'S LOVING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-854-7389",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002853000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.