Phoenix Senior Living II, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10598 Issued in FL

Legal business name

PHOENIX SENIOR LIVING II, INC

Practice address

5882 NW 73Rd CT
Parkland, FL 33067-2442

Phone

(954) 682-1985

NPI assigned

Aug 3, 2009

Last updated

Aug 3, 2009By 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

Gabriela Janeta Roman, RNNPI 1942138326

Title

Administrator

Phone

(954) 682-1985

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Gabriela Janeta Roman, RN

  • Registered Nurse
  • Coral Springs, FL
  • NPI 1942138326
  Authorized official Same address or phone

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1881825206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 NW 73RD CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330672442",
            "telephone_number": "954-682-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 NW 73RD CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330672442",
            "telephone_number": "954-682-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SENIOR LIVING II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "JANETA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-682-1985",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Peragine, R.P.T.
• Mauricio Javier Pereyra Garcia
• Arnaldo Enrique Perez, M.D.
• Kimberly Ann Peters-Chahal, PHARMD
• Suzanne Peterson
• Ronald Ira Platt, M.D
• Silvia Piedad Polanco
• Niloufar Pourmasiha, DO
• William Arthur Prin, M.D.
• Promising Dental Care Parkland Corp

• Assisted Living Facility in Parkland, FL
• Providers in Parkland, 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 Aug 3, 2009; 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.