Active NPI
Acts Retirement-Life Communities Inc
Doing business as St Andrews Estates North
- Skilled Nursing Facility
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1514096
- Legal business name
- ACTS RETIREMENT-LIFE COMMUNITIES INC
- Doing business as
- St Andrews Estates North
- Practice address
- 6152 N Verde Trail
Boca Raton, FL 33433-2430 - Phone
- (561) 487-5500
- Fax
- (561) 883-3823
- NPI assigned
- Jun 14, 2006
- Last updated
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Ahern
- Title
- SVP, Cfo
- Phone
- (215) 661-8330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 1514096 | FL | |
| Skilled Nursing Facility | 314000000X | 1514096 | FL | Primary |
Addresses
Primary practice location
6152 N Verde Trail
Boca Raton, FL 33433-2430
Mailing address
420 Delaware Dr
Fort Washington, PA 19034-2711
Phone (215) 661-8330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020652100 | Medicaid | FL | |
| K73 | Other | BLUE CROSS |
Other names 1
- St Andrews Estates North
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090415000189 | FL | Part A Provider - Skilled Nursing Facility | 1951212380 | Practice locations: Boca Raton, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982647368. Details of each certification follow.
Skilled nursing facility certification: CCN 105355
- Legal name
- ACTS RETIREMENT-LIFE COMMUNITIES INC
- Doing business as
- WILLOWBROOKE COURT AT ST. ANDREWS ESTATES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 13, 1979
- Last certification
- May 1, 2025
- Beds
- 89
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- ACTS RETIREMENT LIFE COMMUNITIES
- Organization structure
- Corporation
- Incorporated
- Jan 20, 1971 in PA
- Enrollment address
- 6152 Verde N TRL
Boca Raton, FL 33433-2430 - Nursing home name
- WILLOWBROOKE COURT AT ST ANDREWS ESTATES
- Affiliated entity
- ACTS RETIREMENT-LIFE COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willowbrooke Court at St Andrews Estates
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 13, 1979
- Medicare certification status
- Active
- Certified beds
- 89
- Chain
- Acts Retirement-Life Communities
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0861468 | Willowbrooke Court at St Andrews Estates | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Lima Estates Med Care F
Other organizations with this tax ID 46
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Azalea Trace Home Health Services
- In Home Supportive Care Agency
- Pensacola, FL
- NPI 1417292251
-
dba Indian River Estates East
- Skilled Nursing Facility
- Vero Beach, FL
- NPI 1174563951
-
dba Edgewater Pointe Estates
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1700826583
-
dba Willow Brooke Court at Azalea Trace
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1396772109
-
dba Primary Care Services at Edgewater at Boca Pointe
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1073481610
-
dba Primary Care Services at Saint Andrews Estates
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1275401812
-
dba Primary Care Services at Azalea Trace
- Internal Medicine Physician
- Pensacola, FL
- NPI 1710855358
-
dba Primary Care Services at Indian River Estates
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1992673537
-
dba Lima Estates
- Skilled Nursing Facility
- Media, PA
- NPI 1174565824
-
dba Granite Farms Estates Willowbrooke Court at Granite Farms
- Skilled Nursing Facility
- Media, PA
- NPI 1265474910
-
dba Southampton Estates
- Skilled Nursing Facility
- Southampton, PA
- NPI 1508808932
-
dba Normandy Farms Estates
- Skilled Nursing Facility
- Blue Bell, PA
- NPI 1558303206
Member of 4
Organizations this organization is a member of, according to the National Provider Directory.
-
dba The Terraces at Bonita Springs
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
Member Of
-
dba The Cedar at Mease Life
- Skilled Nursing Facility
- Dunedin, FL
- NPI 1487640389
Member Of
-
- Internal Medicine Physician
- Sykesville, MD
- NPI 1528607074
Member Of
-
dba Primary Care Services at Country House
- Internal Medicine Physician
- Wilmington, DE
- NPI 1063805315
Member Of
Member organizations 12
Organizations listed as members of this organization in the National Provider Directory.
-
dba Willow Brooke Court at Azalea Trace
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1396772109
Member Of
-
dba Primary Care Services at Azalea Trace
- Internal Medicine Physician
- Pensacola, FL
- NPI 1215326335
Member Of
-
dba The Terraces at Bonita Springs
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
Member Of
-
dba WillowBrooke Court Skilled Care Center at Buckingham's Choice
- Skilled Nursing Facility
- Adamstown, MD
- NPI 1265403703
Member Of
-
dba WillowBrooke Court Skilled Care Center at Heron Point
- Skilled Nursing Facility
- Chestertown, MD
- NPI 1497755045
Member Of
-
dba WillowBrooke Court at Magnolia Trace
- Skilled Nursing Facility
- Huntsville, AL
- NPI 1013184696
Member Of
-
dba WillowBrooke Court at The Evergreens
- Skilled Nursing Facility
- Moorestown, NJ
- NPI 1205902756
Member Of
-
dba WillowBrooke Court at Park Pointe Village
- Skilled Nursing Facility
- Rock Hill, SC
- NPI 1255382107
Member Of
-
dba ACTS Signature Hospice
- Community Based Hospice Care Agency
- Fort Washington, PA
- NPI 1265507495
Member Of
-
dba ACTS Home Health Agency
- Home Health Agency
- Fort Washington, PA
- NPI 1568831303
Member Of
-
dba WillowBrooke Court Skilled Care Center at Westminster Village
- Skilled Nursing Facility
- Spanish Fort, AL
- NPI 1841281441
Member Of
-
dba Primary Care Services at Tryon Estates
- Internal Medicine Physician
- Columbus, NC
- NPI 1487056578
Member Of
Ownership & related parties
All disclosed owners & managing parties 35
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Ahern | Corporate Officer | Jan 1, 2020 | |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Adp of the SNF | Jan 1, 2020 | ||
| Warren E Callaway | Corporate Director | Mar 30, 2022 | |
| Sophia Fyffe | Adp of the SNF | Feb 26, 2023 | |
| Acts Communities of Maryland, Inc. | Indirect Ownership Interest | Apr 1, 2019 | |
| Acts Retirement-Life Communities Inc | Operational/Managerial Control | Jan 1, 2012 | |
| Adp of the SNF | Jan 1, 2012 | ||
| Karen I Christiansen | Corporate Officer | Aug 1, 2014 | |
| Operational/Managerial Control | Jan 26, 2009 | ||
| Adp of the SNF | Aug 1, 2014 | ||
| Acts Management Services, Inc. | Operational/Managerial Control | Jan 1, 2012 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Acts Legacy Foundation, Inc. | Indirect Ownership Interest | Dec 31, 2022 | |
| Susan B Allmond | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Jan 1, 2017 | ||
| Acts Retirement-Life Communities Management, LLC | Operational/Managerial Control | Dec 31, 2022 | |
| Adp of the SNF | Jul 17, 2025 | ||
| Dawn Reichard | Corporate Director | Jun 1, 2025 | |
| Baker Tilly US LLP | Adp of the SNF | Nov 5, 2024 | |
| Acts Acquisition and Development Company LLC | Indirect Ownership Interest | Jan 1, 2012 | |
| Marvin Mashner | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Jan 26, 2009 | ||
| Daniel Middlebrooks | Corporate Director | Jan 1, 2023 | |
| Acts Signature Community Services Inc | Indirect Ownership Interest | Dec 31, 2022 | |
| Daniel Lawson | Corporate Officer | Jan 1, 2025 | |
| Corporate Director | Jun 11, 2019 | ||
| Bonita Springs Retirement Village Inc | Indirect Ownership Interest | Nov 1, 2024 | |
| Harold B Detweiler | Corporate Director | Jan 26, 2009 | |
| Elric C Gerner | Corporate Officer | Jan 1, 2010 | |
| Corporate Director | Apr 1, 2009 | ||
| Dinh Q Pham | Adp of the SNF | Jan 1, 2021 | |
| Gerald T Grant | Corporate Officer | Aug 1, 2014 | |
| Corporate Director | Jan 26, 2009 | ||
| Operational/Managerial Control | Jan 26, 2009 | ||
| Adp of the SNF | Aug 1, 2014 | ||
| Acts Retirement Services, Inc | Indirect Ownership Interest | Mar 24, 2009 | |
| Linda Ruth Chamberlain | Corporate Director | Jan 1, 2025 | |
| Glenn D Fox | Corporate Officer | Jan 1, 2017 | |
| Operational/Managerial Control | Jan 1, 2017 | ||
| Adp of the SNF | Jan 1, 2017 | ||
| Baker Tilly Advisory Group LP | Adp of the SNF | Feb 3, 2025 | |
| Kathryn Lasley Brod | Corporate Director | Feb 15, 2024 | |
| Jason Greer | Corporate Director | Mar 30, 2022 | |
| U.S. Bank | Trustee of the SNF | Jul 9, 2025 | |
| Adp of the SNF | Jul 12, 2025 | ||
| James Glynn | Corporate Director | Jan 1, 2023 | |
| Acts Alliance Management LLC | Indirect Ownership Interest | Dec 31, 2022 | |
| Michael Kelly | Corporate Director | Feb 11, 2020 | |
| John L Esterhai | Corporate Officer | Jan 1, 2017 | |
| Corporate Director | May 1, 1996 | ||
| John E Lammers | Corporate Director | Dec 15, 2020 | |
| Mease Life Inc | Indirect Ownership Interest | Oct 1, 2023 |
Owners & managing parties with NPI records 22
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Acts Home Care
- Home Health Agency
- Boca Raton, FL
- NPI 1942874292
Indirect Ownership Interest
-
dba Primary Care Services at Azalea Trace
- Internal Medicine Physician
- Pensacola, FL
- NPI 1215326335
Indirect Ownership Interest
-
dba The Terraces at Bonita Springs
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
Indirect Ownership Interest
-
dba The Cedar at Mease Life
- Skilled Nursing Facility
- Dunedin, FL
- NPI 1487640389
Indirect Ownership Interest
-
- Geriatric Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
- NPI 1861495657
Adp of the SNF
-
dba WillowBrooke Court Skilled Care Center at Fairhaven
- Skilled Nursing Facility
- Sykesville, MD
- NPI 1194709121
Indirect Ownership Interest
-
dba WillowBrooke Court Skilled Care Center at Buckingham's Choice
- Skilled Nursing Facility
- Adamstown, MD
- NPI 1265403703
Indirect Ownership Interest
-
dba WillowBrooke Court Skilled Care Center at Heron Point
- Skilled Nursing Facility
- Chestertown, MD
- NPI 1497755045
Indirect Ownership Interest
-
dba Primary Care Services at Fairhaven
- Internal Medicine Physician
- Sykesville, MD
- NPI 1538708946
Indirect Ownership Interest
-
dba WillowBrooke Court Skilled Care Center at Bayleigh Chase
- Skilled Nursing Facility
- Easton, MD
- NPI 1730119876
Indirect Ownership Interest
-
dba ACTS Signature Hospice-Delaware
- Community Based Hospice Care Agency
- Hockessin, DE
- NPI 1417467002
Indirect Ownership Interest
-
dba ACTS Home Health Agency
- Home Health Agency
- Fort Washington, PA
- NPI 1568831303
Indirect Ownership Interest
All facility ownership & control disclosures 25
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Willowbrooke Court Skilled Care Center at Fort Washington Estates | Skilled nursing facility | 5% Or Greater Mortgage Interest (100%) Operational/Managerial Control Adp of the SNF Direct Ownership Interest |
Jan 1, 2012 Jan 1, 2023 Jan 1, 2012 Jan 1, 2012 |
| Willowbrooke Court at Indian River Estates | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 |
| Willowbrooke Court SC Ctr at Matthews Glen | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest Operational/Managerial Control Adp of the SNF |
Nov 1, 1988 Nov 1, 1988 Jan 1, 2012 Nov 1, 1988 |
| Willowbrooke Court Skilled Care Center-Edgewater at Boca Pointe | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 |
| Willowbrooke Court at Southampton Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest (100%) Operational/Managerial Control Adp of the SNF |
May 1, 1997 May 1, 1997 Jan 1, 2012 Jul 20, 2025 |
| Willowbrooke Court at Granite Farms Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 |
| Willowbrooke Court SC Center at Tryon Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 1, 1992 Apr 1, 1992 Jan 1, 2012 Apr 1, 1992 |
| Willowbrooke Court Skilled Care Center at Normandy Farms Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest Operational/Managerial Control Adp of the SNF |
Jan 1, 2009 Jan 1, 2009 Jan 1, 2012 Jan 1, 2009 |
| Willowbrooke Court Skilled Care Center at Lima Estates | Skilled nursing facility | Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Dec 31, 2022 Jul 15, 2025 Jan 20, 1971 |
| Willowbrooke Court at Spring House Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 1990 Jan 1, 1990 Dec 31, 2022 Jan 1, 1990 |
| Willowbrooke Court Skilled Care Center at Brittany Pointe Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 Jan 1, 2012 |
| Willowbrooke Court at Lanier Village Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest (100%) Operational/Managerial Control Adp of the SNF |
Aug 1, 2012 Aug 1, 2012 Aug 1, 2012 Aug 1, 2012 |
| Willowbrooke Court at Azalea Trace | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 Jan 1, 2012 |
| Willowbrooke Court Skilled Care Center at the Terraces | Skilled nursing facility | Indirect Ownership Interest (100%) | Nov 1, 2024 |
| Willowbrooke Court at Cokesbury Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest Operational/Managerial Control Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 Jan 1, 2012 |
| Willowbrooke Court at Country House | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2014 Jul 1, 2014 Jul 1, 2014 |
| Willowbrooke Court at Manor House | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jul 1, 2014 Jul 1, 2014 Jul 1, 2014 |
| Willowbrooke Court at Park Pointe Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Mortgage Interest (100%) Operational/Managerial Control Adp of the SNF |
Sep 1, 2018 Sep 1, 2018 Jan 1, 2012 Sep 1, 2018 |
| Willowbrooke Court Skilled Care Center at Buckingham's Choice | Skilled nursing facility | Indirect Ownership Interest (100%) | Dec 31, 2022 |
| Willowbrooke Court Skilled Care at Evergreens | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Dec 31, 2022 Dec 31, 2022 |
| Willowbrooke Court Skilled Care Center at Westminster Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Feb 1, 2023 Feb 1, 2023 Feb 1, 2023 |
| Acts Home Health Agency | Home health agency | Operational/Managerial Control | Jan 1, 2016 |
| Acts Home Health Agency of Florida | Home health agency | Operational/Managerial Control | Feb 15, 2022 |
| Acts Signature Hospice Delaware | Hospice | Operational/Managerial Control | Apr 3, 2018 |
| Acts Hospice of Pennsylvania | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2025 |
Facilities with the same owner 30
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Indian River Estates East
- Skilled Nursing Facility
- Vero Beach, FL
- NPI 1174563951
Acts Management Services, Inc., Acts Retirement-Life Communities Inc, Acts Retirement-Life Communities Management, LLC
-
dba Edgewater Pointe Estates
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1700826583
Acts Management Services, Inc., Acts Retirement-Life Communities Inc, Acts Retirement-Life Communities Management, LLC
-
dba Willow Brooke Court at Azalea Trace
- Skilled Nursing Facility
- Pensacola, FL
- NPI 1396772109
Acts Management Services, Inc., Acts Retirement-Life Communities Inc, Acts Retirement-Life Communities Management, LLC
-
dba Acts Home Care
- Home Health Agency
- Boca Raton, FL
- NPI 1942874292
Acts Management Services, Inc., Acts Retirement-Life Communities Inc
-
dba The Terraces at Bonita Springs
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
Acts Management Services, Inc., Acts Retirement-Life Communities Management, LLC
-
dba The Cedar at Mease Life
- Skilled Nursing Facility
- Dunedin, FL
- NPI 1487640389
Acts Management Services, Inc., Acts Retirement-Life Communities Management, LLC
-
dba WillowBrooke Court Skilled Care Center at Fairhaven
- Skilled Nursing Facility
- Sykesville, MD
- NPI 1194709121
Acts Management Services, Inc., Acts Retirement-Life Communities Management, LLC
-
dba WillowBrooke Court Skilled Care Center at Buckingham's Choice
- Skilled Nursing Facility
- Adamstown, MD
- NPI 1265403703
Acts Management Services, Inc., Acts Retirement-Life Communities Management, LLC
-
dba WillowBrooke Court Skilled Care Center at Heron Point
- Skilled Nursing Facility
- Chestertown, MD
- NPI 1497755045
Acts Management Services, Inc., Acts Retirement-Life Communities Management, LLC
-
dba WillowBrooke Court Skilled Care Center at Bayleigh Chase
- Skilled Nursing Facility
- Easton, MD
- NPI 1730119876
Acts Management Services, Inc., Acts Retirement-Life Communities Management, LLC
-
dba Lima Estates
- Skilled Nursing Facility
- Media, PA
- NPI 1174565824
Acts Management Services, Inc., Acts Retirement-Life Communities Inc, Acts Retirement-Life Communities Management, LLC
-
dba Granite Farms Estates Willowbrooke Court at Granite Farms
- Skilled Nursing Facility
- Media, PA
- NPI 1265474910
Acts Management Services, Inc., Acts Retirement-Life Communities Inc, Acts Retirement-Life Communities Management, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Lighthouse Point, FL
- NPI 1770670648
Nursing home
-
- Neuromusculoskeletal Medicine & OMM Physician
- Fort Lauderdale, FL
- NPI 1508874439
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
- NPI 1861495657
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1982647368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE DR",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342711",
"telephone_number": "215-661-8330",
"fax_number": "215-661-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6152 N VERDE TRAIL",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334332430",
"telephone_number": "561-487-5500",
"fax_number": "561-883-3823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTS RETIREMENT-LIFE COMMUNITIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "AHERN",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SVP, CFO",
"authorized_official_telephone_number": "215-661-8330"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "FL",
"license": "1514096",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "1514096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020652100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "K73",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Andrews Estates North",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
- Across the Spectrum Behavioral Services Inc
- Action Physical Therapy, LLC
- Active Life Audiology Inc (Active Life Hearing)
- Acts Community Signature Services (ACTS Home Health and Senior Services)
- Acts Retirement-Life Communities Inc (Edgewater Pointe Estates)
- Acts Retirement-Life Communities, Inc. (Primary Care Services at Edgewater at Boca Pointe)
- Acts Retirement-Life Communities, Inc. (Primary Care Services at Saint Andrews Estates)
- Acts Retirement-Life Communities, Inc. (Acts Home Care)
- Acts Signature Community Services, Inc. (Primary Care Services at Saint Andrews Estates)
- Acts Signature Community Services, Inc. (Primary Care Services - Edgewater at Boca Pointe)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.