Organization Active NPI

T Mag Elder Care LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1952166829
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
T MAG ELDER CARE LLC
Practice address
948 Armstrong Rd SE
Palm Bay, FL 32909-4511
Phone
(347) 515-4310
NPI assigned
Feb 19, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Antoinette King
Title
Administrator
Phone
(347) 515-4310

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Adult Day Care Clinic/Center 261QA0600X NU
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

948 Armstrong Rd SE
Palm Bay, FL 32909-4511

Mailing address

948 Armstrong Rd SE
Palm Bay, FL 32909-4511
Phone (347) 515-4310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1952166829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 ARMSTRONG RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094511",
            "telephone_number": "347-515-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 ARMSTRONG RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094511",
            "telephone_number": "347-515-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T MAG ELDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-515-4310"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.