Organization Active NPI

Velrose Assisted Living Facility LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1790027860
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11342 Issued in FL
Legal business name
VELROSE ASSISTED LIVING FACILITY LLC
Practice address
1064 Briarwood Blvd NE
Palm Bay, FL 32905-4577
Phone
(321) 327-8853
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Mrs. Marcia Rose
Title
Owner/Administrator
Phone
(321) 327-8853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11342 FL Primary

Addresses

Primary practice location

1064 Briarwood Blvd NE
Palm Bay, FL 32905-4577

Mailing address

1064 Briarwood Blvd NE
Palm Bay, FL 32905-4577
Phone (321) 327-8853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1790027860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 BRIARWOOD BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054577",
            "telephone_number": "321-327-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 BRIARWOOD BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054577",
            "telephone_number": "321-327-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELROSE ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-327-8853",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.