Azalene's Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11630 Issued in FL

Legal business name

AZALENE'S ASSISTED LIVING, LLC

Practice address

3011 NW 8TH CT
Fort Lauderdale, FL 33311-6613

Phone

(954) 583-3352

Fax

(954) 583-8784

NPI assigned

Apr 15, 2013

Last updated

Apr 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Azalene Kemp

Title

Owner

Phone

(954) 583-3352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1811330368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 NW 8TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116613",
            "telephone_number": "954-583-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 NW 8TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116613",
            "telephone_number": "954-583-3352",
            "fax_number": "954-583-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALENE'S ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "AZALENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-583-3352",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 15, 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.