Organization Active NPI

Tyval Assisted Living Facility, LLC

  • Assisted Living Facility
  • Boynton Beach, FL
National Provider Identifier
1902149024
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11128 Issued in FL
Legal business name
TYVAL ASSISTED LIVING FACILITY, LLC
Practice address
3526 Genevra Ave
Boynton Beach, FL 33436-3103
Phone
(561) 364-4772
Fax
(561) 369-1449
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mrs. Valrie D Powell
Title
Administrator
Phone
(347) 752-0172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11128 FL Primary

Addresses

Primary practice location

3526 Genevra Ave
Boynton Beach, FL 33436-3103

Mailing address

3526 Genevra Ave
Boynton Beach, FL 33436-3103
Phone (561) 364-4772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1902149024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 GENEVRA AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363103",
            "telephone_number": "561-364-4772",
            "fax_number": "561-369-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 GENEVRA AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363103",
            "telephone_number": "561-364-4772",
            "fax_number": "561-369-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYVAL ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "VALRIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-752-0172",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.