Octavia Gardens Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12183 Issued in FL

Legal business name

OCTAVIA GARDENS ASSISTED LIVING HOME

Practice address

5652 S Rue Rd
West Palm Beach, FL 33415-7148

Phone

(561) 305-3229

NPI assigned

Jun 13, 2013

Last updated

Jun 13, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

OCTAVIA GARDENS ASSISTED LIVING FACILITY INCAs reported in NPPES

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

Authorized official

Name

Mrs. Monica Barnes

Title

Director

Phone

(561) 305-3229

Specialties & licenses 1

Addresses

Tax ID family

Octavia Gardens Assisted Living Home2 organizations share this tax ID, including this one

Part of

Octavia Gardens Assisted Living Home

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Octavia Gardens Assisted Living Facility Inc

  • Assisted Living Facility
  • Royal Palm Beach, FL
  • NPI 1225371875
  NPD tax ID

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1790123578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 S RUE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157148",
            "telephone_number": "561-305-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 S RUE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157148",
            "telephone_number": "561-305-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIA GARDENS ASSISTED LIVING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCTAVIA GARDENS ASSISTED LIVING FACILITY INC",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-305-3229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nedra Obradovich, MA
• Flavia Obreque, RBT
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Oceans Healthcare
• Gerald J Oconnor, M.D.
• Felix Jolly Odathil, M.D.
• Elizabeth Odicio, ARNP, CPNP-PC
• Olivia Danielle Odom
• Santresa M Odum, OTR
• Chelsea Atieno Oduol, MD, MSC

• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, 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 Jun 13, 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.