Victoria'S Place Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9379 Issued in FL

Legal business name

VICTORIA'S PLACE ASSISTED LIVING INC.

Practice address

2708 Lightwood St
Deltona, FL 32738-9184

Phone

(407) 330-6453

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Christopher McDaniel

Title

Adminstrator

Phone

(407) 314-5681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1922341916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 LIGHTWOOD ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389184",
            "telephone_number": "407-330-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 LIGHTWOOD ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389184",
            "telephone_number": "407-330-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA'S PLACE ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "407-314-5681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.