Active NPI
Tyval Assisted Living Facility, LLC
- Assisted Living Facility
- Boynton Beach, FL
National Provider Identifier
1902149024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11128
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.