Amehan TLC Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMEHAN TLC HOME LLC

Practice address

5170 Saint John Ave S
Boynton Beach, FL 33472-1112

Phone

(561) 843-1722

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Hanvivatpong

Title

Owner

Phone

(561) 843-1722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1972249357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 740",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846532",
            "telephone_number": "561-843-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 SAINT JOHN AVE S",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334721112",
            "telephone_number": "561-843-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEHAN TLC HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "HANVIVATPONG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-843-1722",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.