Active Senior Living Residence, Inc. in Tamarac - Assisted Living Facility
Active Senior Living Residence, Inc. - NPI 1861557464
Active Senior Living Residence, Inc. is a Assisted Living Facility in Tamarac, Florida. Active Senior Living Residence, Inc. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Active Senior Living Residence, Inc. is 1861557464. The last update date is 2020-08-22.
Active Senior Living Residence, Inc.'s current location address is 9057 Nw 57th St, Tamarac, Florida. You can contact this provider via phone number 9547211115 and fax number 9547214397. The mailing address for Active Senior Living Residence, Inc. is 9057 Nw 57th St, Tamarac, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Senior Living Residence, Inc. |
|---|---|
| Address | 9057 Nw 57th St, Tamarac, Florida |
| Phone Number | 9547211115 |
| Fax Number | 9547214397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Tokarz Ilona Beth |
| Telephone Number | 9547211115 |
NPI Number Detail
| NPI Number | 1861557464 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9057 Nw 57th St |
|---|---|
| City | Tamarac |
| State | Florida (FL) |
| Post Code | 333514305 |
| Phone Number | 9547211115 |
| Fax Number | 9547214397 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 9969 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the Active Senior Living Residence, Inc.'s unique identification number?
The Active Senior Living Residence, Inc. has been assigned the NPI (National Provider Identifier) Number 1861557464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Active Senior Living Residence, Inc.'s facilities are situated?
The facilities of Active Senior Living Residence, Inc. are physically located at the following address: 9057 Nw 57Th St, Tamarac, FL, 333514305.
What is the Active Senior Living Residence, Inc.'s specialty and taxonomy code?
The Active Senior Living Residence, Inc.'s specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861557464 to Active Senior Living Residence, Inc.?
The Active Senior Living Residence, Inc. received its 1861557464 assignment from the Centers for Medicare & Medicaid Services on 2006-12-26.
As of what date was the information pertaining to Active Senior Living Residence, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Active Senior Living Residence, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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