Organization Active NPI

Joyous Life Inc

  • Assisted Living Facility
  • St Cloud, FL
National Provider Identifier
1962995019
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL13118 Issued in FL
Legal business name
JOYOUS LIFE INC
Practice address
2365 Bronco Drive
St Cloud, FL 34771
Phone
(407) 593-8037
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Faye Bastian, RN
Title
Owner/Administrator
Phone
(407) 922-2060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA2000X FL
Assisted Living Facility 310400000X AL13118 FL Primary

Addresses

Primary practice location

2365 Bronco Drive
St Cloud, FL 34771

Mailing address

2365 Bronco Drive
St Cloud, FL 34771
Phone (407) 593-8037

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1962995019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 BRONCO DRIVE",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34771",
            "telephone_number": "407-593-8037",
            "fax_number": "407-556-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BRONCO DRIVE",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34771",
            "telephone_number": "407-593-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYOUS LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "BASTIAN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "407-922-2060",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.