Organization Active NPI

Blue Ribbon Care Assisted Living Facilty, LLC

  • Assisted Living Facility
  • Palm Springs, FL
National Provider Identifier
1790167682
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLUE RIBBON CARE ASSISTED LIVING FACILTY, LLC
Practice address
125 Ainsworth Cir
Palm Springs, FL 33461-2015
Phone
(786) 510-0286
Fax
(561) 354-6031
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Ms. Rennay Rose, B.A.
Title
Administrator
Phone
(786) 510-0286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

125 Ainsworth Cir
Palm Springs, FL 33461-2015

Mailing address

125 Ainsworth Cir
Palm Springs, FL 33461-2015
Phone (786) 510-0286

Other names 1

  • Blue Ribbon Care Assisted Living Facility Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1790167682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 AINSWORTH CIR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612015",
            "telephone_number": "786-510-0286",
            "fax_number": "561-354-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AINSWORTH CIR",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612015",
            "telephone_number": "786-510-0286",
            "fax_number": "561-354-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIBBON CARE ASSISTED LIVING FACILTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "RENNAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-510-0286",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ribbon Care Assisted Living Facility",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

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