NPIMap

Organization Active NPI

Alf at Merritt Island LLC

  • Assisted Living Facility
  • Merritt Island, FL
National Provider Identifier
1952602948
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8975 Issued in FL
Legal business name
ALF AT MERRITT ISLAND LLC
Doing business as
The Place at Merritt Island
Practice address
535 Crockett Blvd
Merritt Island, FL 32953-5018
Phone
(850) 392-0600
Fax
(850) 392-0000
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
John E Warren
Title
Manager
Phone
(850) 392-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8975 FL Primary

Addresses

Primary practice location

535 Crockett Blvd
Merritt Island, FL 32953-5018

Mailing address

535 Crockett Blvd
Merritt Island, FL 32953-5018
Phone (850) 392-0600

Other names 1

  • The Place at Merritt Island Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alf at Merritt Island LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1952602948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CROCKETT BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329535018",
            "telephone_number": "850-392-0600",
            "fax_number": "850-392-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CROCKETT BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329535018",
            "telephone_number": "850-392-0600",
            "fax_number": "850-392-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALF AT MERRITT ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-392-0600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Place at Merritt Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.