Ceemar Assisted Living Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12208 Issued in FL

Legal business name

CEEMAR ASSISTED LIVING FACILITY LLC

Doing business as

Velrose Assisted Living Facility 2

Practice address

4665 Hidden Lakes PL
Melbourne, FL 32934-7749

Phone

(321) 241-4161

Fax

(321) 241-4161

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Marcia Rose

Title

Owner/Administrator

Phone

(321) 241-4161

Specialties & licenses 1

Addresses

Other names 1

• Velrose Assisted Living Facility 2 Doing business as

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1881936953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 HIDDEN LAKES PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347749",
            "telephone_number": "321-241-4161",
            "fax_number": "321-241-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 HIDDEN LAKES PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347749",
            "telephone_number": "321-241-4161",
            "fax_number": "321-241-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEEMAR ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-241-4161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velrose Assisted Living Facility 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, 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 Mar 26, 2013; 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.