Organization Active NPI

Pompano Gardens at M&M Assisted Living LLC

  • Assisted Living Facility
  • Pompano Beach, FL
National Provider Identifier
1811476138
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10484 Issued in FL
Legal business name
POMPANO GARDENS AT M&M ASSISTED LIVING LLC
Practice address
113 NE 7TH St
Pompano Beach, FL 33060-6133
Phone
(954) 946-9699
NPI assigned
Aug 8, 2018
Last updated
Aug 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Stuart Simon Rosenthal
Title
Manager
Phone
(954) 501-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10484 FL Primary

Addresses

Primary practice location

113 NE 7TH St
Pompano Beach, FL 33060-6133

Mailing address

113 NE 7TH St
Pompano Beach, FL 33060-6133
Phone (954) 946-9699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1811476138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NE 7TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606133",
            "telephone_number": "954-946-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NE 7TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606133",
            "telephone_number": "954-946-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO GARDENS AT M&M ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-501-7630"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.