PRESTIGIOUS ASSITED LIVING LLC DBA PARKSIDE INN (NPI# 1033555099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033555099 |
| Entity Type | Organization |
| Organization Name | PRESTIGIOUS ASSITED LIVING LLC DBA PARKSIDE INN |
| Practice Address |
1613 Sw 3rd St Boynton Beach FL 33435-6601 |
| Practice Telephone | 5617341616 |
| Mailing Telephone | 5617341616 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | SEEMA S LAKHANI (MANAGING MENBER) |
| Authorized Official Telephone | 5617341616 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1059 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1613 SW 3RD ST |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| 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 |
|---|---|---|---|---|
| 1518572189 | Sunrise of Boynton Beach Opo, LLC | Assisted Living Facility | 10605 S Jog Rd, Boynton Beach, FL 33437-3234 | 2020-09-10 |
| 1780210609 | Boynton Beach Healthcare Services, LLC. | Assisted Living Facility | 3005 S Congress Ave, Boynton Beach, FL 33426-9045 | 2020-03-23 |
| 1740825801 | Blueheart Adult Care Home/assisted Living | Assisted Living Facility | 105 Ne 14th Ave, Boynton Beach, FL 33435-2641 | 2019-11-13 |
| 1346776085 | Laurin Manor Assisted Living Facility, LLC | Assisted Living Facility | 5170 Saint John Ave S, Boynton Beach, FL 33472-1112 | 2017-05-01 |
| 1437682515 | Summers Rain LLC | Assisted Living Facility | 2910 Se 2nd St, Boynton Beach, FL 33435-8217 | 2017-04-06 |
| 1083076137 | Alf Beit Shalom Inc | Assisted Living Facility | 10047 Noceto Way, Boynton Beach, FL 33437-3598 | 2016-03-27 |
| 1205245578 | Magalie Emilcar Adult Family Care Home LLC | Assisted Living Facility | 103 W Ocean Dr, Boynton Beach, FL 33426-4338 | 2014-08-11 |
| 1841619962 | Golden Retreat-2 Assisted Living Facility LLC | Assisted Living Facility | 9465 Longmeadow Cir, Boynton Beach, FL 33436-3119 | 2014-04-16 |
| 1003256934 | Mills Senior Care Services, Inc | Assisted Living Facility | 7301 Willow Springs Cir W, Boynton Beach, FL 33436-9421 | 2013-06-25 |
| 1619313467 | A New Beginning Assisted Living LLC | Assisted Living Facility | 105 Ne 11th Ave, Boynton Beach, FL 33435-3107 | 2013-05-21 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
Please comment or provide details below to improve the information on PRESTIGIOUS ASSITED LIVING LLC DBA PARKSIDE INN.
| 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.