Organization Active NPI

Blue Ribbon Care Assisted Living Facility III, LLC

  • Assisted Living Facility
  • Tamarac, FL
National Provider Identifier
1992554349
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLUE RIBBON CARE ASSISTED LIVING FACILITY III, LLC
Practice address
8335 NW 80TH St
Tamarac, FL 33321-1629
Phone
(786) 510-0286
Fax
(561) 354-6031
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Mrs. Rennay RoseNPI 1396886024
Title
Admin
Phone
(786) 510-0286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8335 NW 80TH St
Tamarac, FL 33321-1629

Mailing address

8335 NW 80TH St
Tamarac, FL 33321-1629
Phone (786) 510-0286

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": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1992554349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 NW 80TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211629",
            "telephone_number": "786-510-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 NW 80TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211629",
            "telephone_number": "786-510-0286",
            "fax_number": "561-354-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIBBON CARE ASSISTED LIVING FACILITY III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "RENNAY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "786-510-0286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.