Royal Palm Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROYAL PALM ALF LLC

Doing business as

Royal Palm Senior Residence

Practice address

5121 NE 19TH Ave
Fort Lauderdale, FL 33308-3712

Phone

(954) 491-4041

Fax

(954) 772-4657

NPI assigned

Sep 22, 2021

Last updated

Oct 5, 2021By 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

Eusebio Noblefranca

Title

Cfo

Phone

(954) 592-0087

Specialties & licenses 1

Addresses

Other names 1

• Royal Palm Senior Residence Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1871264788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 NE 19TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083712",
            "telephone_number": "954-491-4041",
            "fax_number": "954-772-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 NE 19TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083712",
            "telephone_number": "954-491-4041",
            "fax_number": "954-772-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "NOBLEFRANCA",
        "authorized_official_first_name": "EUSEBIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-592-0087"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "royalpalmsr@bellsouth.net",
            "affiliation": "N",
            "endpointDescription": "Royal Palm's Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5121 NE 19th Ave",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333083712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Royal Palm Senior Residence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal Palm Senior Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.