Succor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11205 Issued in FL

Legal business name

SUCCOR LLC

Practice address

9239 W Highland Pines Dr
Palm Beach Gardens, FL 33418-5756

Phone

(561) 691-8630

Fax

(561) 691-8631

NPI assigned

Dec 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Babangida Bafarawa

Title

Owner

Phone

(561) 691-8630

Specialties & licenses 1

Addresses

Other names 1

• Assisted Living of Palm Beach Gardens Doing business as

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1801251541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 W HIGHLAND PINES DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185756",
            "telephone_number": "561-691-8630",
            "fax_number": "561-691-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W HIGHLAND PINES DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185756",
            "telephone_number": "561-691-8630",
            "fax_number": "561-691-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "BAFARAWA",
        "authorized_official_first_name": "BABANGIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-691-8630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living of Palm Beach Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart M. Graham Jr MD PL
• Gary Charlie Stuve, DPT
• Andres Enrique Suarez, MD
• Miral A Subhani, M.D.
• Stephanie Marie Subirats
• Amanda Kristine Suggs
• Georges Sukkarieh, MD
• Marian Suliman
• Efrat Golan Sullivan
• Kimberly Ranee Sumner-Brooks, APRN

• Assisted Living Facility in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 Dec 23, 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.