NPIMap

Organization Active NPI

Integrated-1 Corp

Doing business as Dornoch Place Del Prado

  • Assisted Living Facility
  • Cape Coral, FL
National Provider Identifier
1841543550
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10682 Issued in FL
Legal business name
INTEGRATED-1 CORP
Doing business as
Dornoch Place Del Prado
Practice address
2728 SE 16TH PL
Cape Coral, FL 33904-3209
Phone
(239) 573-7598
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Aleksandra Levitina
Title
Administrator
Phone
(239) 573-7598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10682 FL Primary

Addresses

Primary practice location

2728 SE 16TH PL
Cape Coral, FL 33904-3209

Mailing address

2728 SE 16TH PL
Cape Coral, FL 33904-3209

Other identifiers 3

IdentifierTypeStateIssuer
692486701MedicaidFL
142931100MedicaidFL
692486700MedicaidFL

Other names 1

  • Dornoch Place Del Prado Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1841543550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043209",
            "telephone_number": "239-573-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED-1 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "LEVITINA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-573-7598"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692486701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142931100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692486700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dornoch Place Del Prado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.