Active NPI
Atlantis Senior Care, LLC
- Assisted Living Facility
- Oakland Park, FL
National Provider Identifier
1902442916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.