Parkway Terrace Alf Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12963 Issued in FL

Legal business name

PARKWAY TERRACE ALF INC.

Practice address

625 Florida Pkwy
Kissimmee, FL 34743-7548

Phone

(321) 217-9058

NPI assigned

Feb 17, 2017

Last updated

Feb 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lilian MokuaNPI 1366969610

Title

Administrator

Phone

(321) 217-9058

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lilian Mokua

  • Assisted Living Facility
  • Kissimmee, FL
  • NPI 1366969610
  NPD (past) Authorized official

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1912446360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FLORIDA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FLORIDA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347437548",
            "telephone_number": "321-217-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY TERRACE ALF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "MOKUA",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-217-9058"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Parisi, ATC
• Tomoyo Park, PA-C
• Christopher Parker, MSN, APRN, FNP-C
• Ross Allen Parks, MD
• Treyvon Parks
• Susanne B. Parlade, PSY.D.
• Willka Vanessa Parra Ochoa, APRN
• Miriam Parra, OTR
• Paola Andrea Parra
• Francisco Parrilla Quinones, M.D.

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, 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 Feb 17, 2017; 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.