Shangri-la of West Melbourne Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12957 Issued in FL

Legal business name

SHANGRI-LA OF WEST MELBOURNE ALF, LLC

Practice address

1511 Whitman Dr
West Melbourne, FL 32904-8756

Phone

(321) 507-8722

Fax

(321) 473-8703

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Ernest Roger Lapointe

Title

Administrator

Phone

(321) 507-8722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1801320346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WHITMAN DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048756",
            "telephone_number": "321-507-8722",
            "fax_number": "321-473-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WHITMAN DR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048756",
            "telephone_number": "321-507-8722",
            "fax_number": "321-473-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA OF WEST MELBOURNE ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "LAPOINTE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-507-8722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Scianimanico
• Janet Seeley
• Vierge Audrey Selexant
• Justin Settle, PHARM. D
• Anand Shah, DMD
• Lauren Marina Shaw, MASSAGE THERAPIST
• Shedrick D Shields, PHD, APRN
• Georgia Shifflette, ARNP
• Craig F Sicinski, RPH
• Ashley Kian Simmons

• Assisted Living Facility in West Melbourne, FL
• Providers in West Melbourne, 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 Apr 11, 2017; 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.