A New Age of Senior Care at Wellington

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11924 Issued in FL

Legal business name

A NEW AGE OF SENIOR CARE AT WELLINGTON

Practice address

1074 Hyacinth PL
Unit D
Wellington, FL 33414-2144

Phone

(561) 847-4548

Fax

(800) 391-6830

NPI assigned

May 6, 2011

Last updated

May 6, 2011By 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

Antonio Luis Borges

Title

Administrator

Phone

(561) 847-4548

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1831481019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 HYACINTH PL",
            "address_2": "UNIT D",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142144",
            "telephone_number": "561-847-4548",
            "fax_number": "800-391-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 HYACINTH PL",
            "address_2": "UNIT D",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142144",
            "telephone_number": "561-847-4548",
            "fax_number": "800-391-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW AGE OF SENIOR CARE AT WELLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "BORGES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-847-4548"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE NUMBER",
            "identifier": "AL11924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Wellington, FL
• Providers in Wellington, 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 May 6, 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.