Organization Active NPI

Privcap Manager

Doing business as Majestic Landing LLC

  • Assisted Living Facility
  • Fort Lauderdale, FL
National Provider Identifier
1790265072
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRIVCAP MANAGER
Doing business as
Majestic Landing LLC
Practice address
408 SW 7TH Ave
Fort Lauderdale, FL 33312-2567
Phone
(561) 952-2501
Fax
(954) 827-0871
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Theresa Santana
Title
Operations
Phone
(954) 609-7614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

408 SW 7TH Ave
Fort Lauderdale, FL 33312-2567

Mailing address

7200 Camino Real Ste 200
Boca Raton, FL 33433-5511
Phone (561) 952-2501

Other names 1

  • Majestic Landing LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1790265072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMINO REAL STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335511",
            "telephone_number": "561-952-2501",
            "fax_number": "954-827-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SW 7TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122567",
            "telephone_number": "561-952-2501",
            "fax_number": "954-827-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVCAP MANAGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "954-609-7614"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Landing LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.