BCJ Retirement Home #2 Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

AL12535 Issued in FL

Legal business name

BCJ RETIREMENT HOME #2 INC

Practice address

5760 NW 40TH Ter
Coconut Creek, FL 33073-4055

Phone

(954) 970-7211

Fax

(754) 212-2772

NPI assigned

Jul 28, 2014

Organization subpart

Yes

Parent organization

BCJ RETIREMENT HOME INCAs reported in NPPES

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

Authorized official

Name

Mrs. Barbara B Wilson

Title

Administrator

Phone

(954) 254-0159

Specialties & licenses 1

Addresses

Part of

BCJ Retirement Home Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• BCJ Retirement Home Inc

  • Assisted Living Facility
  • Margate, FL
  • NPI 1467703017
  NPPES parent name

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1952719486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 NW 40TH TER",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734055",
            "telephone_number": "954-970-7211",
            "fax_number": "754-212-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 NW 40TH TER",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734055",
            "telephone_number": "954-970-7211",
            "fax_number": "754-212-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCJ RETIREMENT HOME #2 INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BCJ RETIREMENT HOME INC",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-254-0159",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "AL12535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton D Barrick, MT-BC
• Monica Lynne Bartoli, D.O
• Sienna Madison Bascus
• Alissa Baum, PSYD
• Maria Fernanda Bayron
• Josee Helene Beaudry
• Nancy Ellen Bein, LCSW
• Gracie Beish
• Myriam Beliard Momplaisir, FNP-C
• Tammy Lynn Benavidez, RN

• Assisted Living Facility (Behavioral Disturbances) in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Assisted Living Facility (Behavioral Disturbances) in Florida

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