The Eden Inn Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10495 Issued in FL

Legal business name

THE EDEN INN ALF

Practice address

4064 SW 51St St
Dania Beach, FL 33314-5712

Phone

(954) 581-2240

Fax

(954) 581-2240

NPI assigned

Aug 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Sulaiman Peeru Mohammed

Title

Administrator

Phone

(954) 581-2240

Specialties & licenses 1

Addresses

Other names 1

• Filindia Doing business as

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1811276090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 SW 51ST ST",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "333145712",
            "telephone_number": "954-581-2240",
            "fax_number": "954-581-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 SW 51ST ST",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "333145712",
            "telephone_number": "954-581-2240",
            "fax_number": "954-581-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDEN INN ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "SULAIMAN",
        "authorized_official_middle_name": "PEERU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-581-2240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Filindia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Dania Beach, FL
• Providers in Dania 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 Aug 5, 2011; 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.