Total Care Manor, Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL8595 Issued in FL

Legal business name

TOTAL CARE MANOR, INC

Doing business as

Horizon ALF

Practice address

1490 NW 21 Street
Fort Lauderdale, FL 33311

Phone

(954) 523-1543

Fax

(954) 527-0505

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Jason Kissoonlal

Title

President

Phone

(954) 523-1543

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Horizon ALF Doing business as

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1871745265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 NW 21 STREET",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-523-1543",
            "fax_number": "954-527-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NW 21 STREET",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-523-1543",
            "fax_number": "954-527-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KISSOONLAL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-523-1543"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL8595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141923400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Ernesto Torres, MD
• Katia Enid Torres
• Michelle Torres
• Greta Catalina Torrez-Diaz
• Carolyn Torrillo, DO
• Total Care Medical & Dental Supplies and Equipment
• Total Mental Wellness
• Total Pediatric Care
• Total Renal Care Inc (Fort Lauderdale Renal Associates)
• Total Renal Care Inc (Complete Dialysis Care South)

• Assisted Living Facility (Mental Illness) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.