Path of Life Assisted Living of Palm Beach LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12319 Issued in FL

Legal business name

PATH OF LIFE ASSISTED LIVING OF PALM BEACH LLC

Practice address

5800 Gun Club Rd
West Palm Beach, FL 33415-2508

Phone

(561) 855-6143

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Jessica Hernandez

Title

Administrator

Phone

(305) 282-2620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1982946042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 GUN CLUB RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 GUN CLUB RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152508",
            "telephone_number": "561-855-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH OF LIFE ASSISTED LIVING OF PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-282-2620"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radhika Patel, FNP
• Sangita Patel, PHARMD
• Shree Patel, DC
• Sohini Brahmbhatt Patel, O.D.
• Path Medical, LLC (Path Medical - Palm Beach Lakes)
• Pathways Center for Mental Health, Inc.
• Michael Patipa, M.D.
• Great Patoombal, ARNP-BC
• Patricia E Morrison Counseling Inc (Patricia E Morrison, LCSW)
• Patrick Boursiquot LCSW Inc

• Assisted Living Facility in West Palm Beach, FL
• Providers in West Palm Beach, 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 Mar 26, 2013; 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.