Alpha 1306 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12303 Issued in FL

Legal business name

ALPHA 1306 LLC

Practice address

1088 Grandview Cir
Royal Palm Beach, FL 33411-4003

Phone

(561) 502-0323

Fax

(561) 282-6530

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Francis Thomas

Title

Owner/Administrator

Phone

(561) 502-0323

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALPHA CARE RESIDENCE Doing business as

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1801233408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 GRANDVIEW CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114003",
            "telephone_number": "561-502-0323",
            "fax_number": "561-282-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 GRANDVIEW CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114003",
            "telephone_number": "561-502-0323",
            "fax_number": "561-282-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA 1306 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-502-0323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "AL12303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA CARE RESIDENCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Royal Palm Beach, FL
• Providers in Royal 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 May 23, 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.