New Smyrna Beach Assisted Living Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12638 Issued in FL

Legal business name

NEW SMYRNA BEACH ASSISTED LIVING FACILITY, INC.

Practice address

5 Fairgreen Ave
New Smyrna Beach, FL 32168-6112

Phone

(386) 410-3201

NPI assigned

Apr 30, 2015

Last updated

Apr 30, 2015By 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

Tamela S Owens

Title

President

Phone

(386) 527-3781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1841677523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SPRING FOREST DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FAIRGREEN AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686112",
            "telephone_number": "386-410-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMYRNA BEACH ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-527-3781"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.