Nova Palms Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12023 Issued in FL

Legal business name

NOVA PALMS ALF INC

Practice address

1600 Taft St
Alf Unit
Hollywood, FL 33020-3272

Phone

(954) 362-3487

Fax

(954) 362-3489

NPI assigned

May 28, 2014

Last updated

May 28, 2014By 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

Mala Diane Williams

Title

President/Administrator

Phone

(954) 789-6517

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1932511755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 TAFT ST",
            "address_2": "ALF UNIT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203272",
            "telephone_number": "954-362-3487",
            "fax_number": "954-362-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 TAFT ST",
            "address_2": "ALF UNIT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203272",
            "telephone_number": "954-362-3487",
            "fax_number": "954-362-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PALMS ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MALA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-789-6517"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003479800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephen Bruce Novak, MD
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• Irina Novikova, LPN
• Tiffany Nicole Noya, PT, DPT

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, 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 May 28, 2014; 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.