AUDREYSTLC I (NPI# 1700211794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700211794 |
| Entity Type | Organization |
| Organization Name | AUDREYSTLC I |
| Practice Address |
10620 Nw 29th Ct Sunrise FL 33322 |
| Mailing Address |
10620 Ne 29th Ct Sunrise FL 33322 |
| Practice Telephone | 7543689999 |
| Practice Fax Number | 9543062745 |
| Mailing Telephone | 7543689999 |
| Mailing Fax Number | 9543062745 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | MS. AUDREY BEVERLY THORPE (ADMINISTATOR/OWNER) |
| Authorized Official Telephone | 7543689993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12113 | FL | Nursing & Custodial Care Facilities |
| Street Address |
10620 NW 29TH CT |
| City | SUNRISE |
| State | FL |
| Zip Code | 33322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1225658867 | Einbar Hazan | Anesthesiology | 7700 Sunrise Blvd, Plantation, FL 33322 | 2020-04-23 |
| 1598305781 | Rxspeck's LLC | Technician/Technologist | 1860 N Pine Island Rd, 105, Plantation, FL 33322 | 2020-01-15 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1134644537 | Gregs Recovery Group | Substance Abuse Rehabilitation Facility | 2045 N University Drive, Sunrise, FL 33322 | 2017-08-07 |
| 1538699640 | Enriquillo Bencosme | Contractor | 9350 Sunrise Lakes Blvd. Apt.110, Sunrise, FL 33322 | 2017-06-13 |
| 1346789633 | Herline Saintcius | Occupational Therapy Assistant | 2720 North Pines Rd Apt 107, Sunrise, Surise, FL 33322 | 2017-02-20 |
| 1649719378 | Dana Malzahn | Nurse Anesthetist, Certified Registered | 7700 West Sunrise Blvd, Plantation, FL 33322 | 2017-02-14 |
| 1548614134 | Melissa Bridges | Counselor | 8551 Sunrise Blvd, Suite 206, Plantation, FL 33322 | 2016-04-20 |
| 1386005353 | Laura Hutira | Physical Therapist | 1825 N Pine Island Rd, Plantation, FL 33322 | 2016-03-17 |
| Find all providers in zip 33322 | ||||
| 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 |
|---|---|---|---|---|
| 1871125880 | Good Shepherd Alf LLC | Assisted Living Facility | 8610 Nw 24th Ct, Sunrise, FL 33322-3304 | 2020-02-07 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1386159465 | Evalve Life Co | Assisted Living Facility | 2560 Nw 83rd Ave, Sunrise, FL 33322-2926 | 2017-12-11 |
| 1568996734 | Evalve Life Co | Assisted Living Facility | 11360 Nw 29th St, Sunrise, FL 33323-1659 | 2017-04-14 |
| 1922556521 | Nina's Haven Inc. | Assisted Living Facility | 10620 Sunset Strip, Sunrise, FL 33322-2618 | 2016-09-13 |
| 1962817023 | Islf Westchester of Sunrise, LLC | Assisted Living Facility | 9701 W Oakland Park Blvd, Sunrise, FL 33351-7015 | 2014-06-27 |
| 1710302757 | Laura Martinez | Assisted Living Facility | 8487 Nw 34th Mnr, Sunrise, FL 33351-6605 | 2014-02-27 |
| 1639506298 | Magnolia Residence Inc | Assisted Living Facility | 4838 Nw 93rd Ter, Sunrise, FL 33351-5220 | 2013-09-27 |
| 1497197388 | Royal Living At Sunrise Alf Inc | Assisted Living Facility | 3181 Nw 94th Way, Sunrise, FL 33351-7134 | 2013-07-22 |
| 1255773156 | Westbridge Alf Inc | Assisted Living Facility | 3142 Nw 109th Ter, Sunrise, FL 33351-6847 | 2013-07-22 |
| Find all providers in SUNRISE | ||||
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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.