Balmoral Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11307 Issued in FL

Legal business name

BALMORAL ASSISTED LIVING, LLC

Practice address

93 Balmoral Dr
Lake Placid, FL 33852-7000

Phone

(863) 465-6584

Fax

(863) 465-6585

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Doreen O. Egan

Title

Controller

Phone

(863) 465-6584

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1962760108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BALMORAL DR",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527000",
            "telephone_number": "863-465-6584",
            "fax_number": "863-465-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BALMORAL DR",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527000",
            "telephone_number": "863-465-6584",
            "fax_number": "863-465-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALMORAL ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "863-465-6584",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003688600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Liezl Geli Andool, P.T.
• Evelyn Anekpo, COTA/L
• Eimmy Daly Arriaga
• Maria Belina B Asis, M.D.
• Jennifer Awad
• Balmoral Senior Living LLC
• Sylvia Barajas
• Barbara Platte DDS PA
• Teresa Barber
• Albert D. Bartholomew, MD

• Assisted Living Facility in Lake Placid, FL
• Providers in Lake Placid, 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 Apr 25, 2012; 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.