ORCHID DIVERSIFELD SERVICES INC (NPI# 1063846392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063846392 |
| Entity Type | Organization |
| Organization Name | ORCHID DIVERSIFELD SERVICES INC |
| Other Organization Name | LEISURE LIVING OF VICTORIA PARK |
| Practice Address |
1700 Ne 5th St Fort Lauderdale FL 33301-1326 |
| Practice Telephone | 9547664961 |
| Practice Fax Number | 9547664961 |
| Mailing Telephone | 9547664961 |
| Mailing Fax Number | 9547664961 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MRS. SWAIBY A KERR ROLLE (OWNER) |
| Authorized Official Telephone | 9546502297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL11760 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Leisure Living of Victoria Park | Doing Business As Name - Organization |
| Street Address |
1700 NE 5TH ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
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| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1700337656 | Cornerstone Deliverance & Development Ministries for Christ, Inc | Assisted Living Facility | 3090 Nw 7th Street, Fort Lauderdale, FL 33311 | 2016-10-16 |
| 1003266594 | Arms of Love Home Care LLC | Assisted Living Facility | 532 Nw 10th Ave, Fort Lauderdale, FL 33311-8051 | 2016-06-15 |
| 1649629528 | Annie's Retirement Home, Inc. | Assisted Living Facility | 1650 Ne 62nd St, Fort Lauderdale, FL 33334-5140 | 2016-06-10 |
| 1699136069 | Le Chateau Alf | Assisted Living Facility | 3801 Sw 12th Pl, Fort Lauderdale, FL 33312-3412 | 2016-03-14 |
| 1396104345 | Sela's Place Inc | Assisted Living Facility | 5850 Sw 32nd Ter, Fort Lauderdale, FL 33312-6323 | 2016-02-18 |
| 1376951087 | Verona Gardens At Coral Ridge LLC | Assisted Living Facility | 2625 Ne 13th Ct, Fort Lauderdale, FL 33304-1505 | 2014-07-25 |
| 1295152239 | Cytas Corp. | Assisted Living Facility | 4531 Sw 34th Dr, Fort Lauderdale, FL 33312-5515 | 2014-03-27 |
| 1184051195 | Working Against Negative and Destructive Alternatives, Inc. | Assisted Living Facility | 2780 Nw 13th Ct, Fort Lauderdale, FL 33311-5232 | 2013-10-04 |
| 1417381757 | Golden Diversified Service Inc | Assisted Living Facility | 809 Ne 20th Ave, Fort Lauderdale, FL 33304-3035 | 2013-08-22 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.