Organization Active NPI

Atlantis Senior Care, LLC

  • Assisted Living Facility
  • Oakland Park, FL
National Provider Identifier
1902442916
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ATLANTIS SENIOR CARE, LLC
Practice address
460 NW 40TH CT
Oakland Park, FL 33309-5138
Phone
(954) 990-8857
Fax
(954) 440-4761
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Mr. Suhan Junaid
Title
Administrator
Phone
(561) 789-7924

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

460 NW 40TH CT
Oakland Park, FL 33309-5138

Mailing address

10515 Versailles Blvd
Wellington, FL 33449-8084
Phone (561) 789-7924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1902442916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 VERSAILLES BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498084",
            "telephone_number": "561-789-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NW 40TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095138",
            "telephone_number": "954-990-8857",
            "fax_number": "954-440-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "JUNAID",
        "authorized_official_first_name": "SUHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-789-7924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.