1161 CAMBRIDGE LLC (NPI# 1275180515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275180515 |
| Entity Type | Organization |
| Organization Name | 1161 CAMBRIDGE LLC |
| Practice Address |
1161 W 2nd St Riviera Beach FL 33404-7627 |
| Mailing Address |
4285 Nw 66th Pl Boca Raton FL 33496-4029 |
| Practice Telephone | 5619908089 |
| Mailing Telephone | 5619908089 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | CLAUDIA MARINOFF (MANAGER/OWNER) |
| Authorized Official Telephone | 5619908089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
1161 W 2ND ST |
| City | RIVIERA BEACH |
| State | FL |
| Zip Code | 33404-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1417509613 | Amber Tamara Seaman | Social Worker | 2001 Bue Herron Drive, Riviera Beach, FL 33404 | 2019-07-09 |
| 1407419252 | Tiara Priester | Nurse's Aide | 1625 West 26th Street Riviera Beach,fl, Riviera Beach, FL 33404 | 2019-04-17 |
| 1598274110 | Yolanda Victoria Mckinney-foy | Counselor | 2910 Avenue F, Riviera Beach, FL 33404 | 2017-09-26 |
| 1356867626 | Lynette Patrice Copeland | Speech-Language Pathologist | 1901 Avenue S, 1901 Avenue S, Rivera Beach, FL 33404 | 2017-08-18 |
| 1205359320 | Community Development and Empowerment Group, Inc. | Registered Nurse | 3148 Laurel Ridge Circle, Riviera Beach, FL 33404 | 2017-07-20 |
| 1407387327 | Chelsea Flint | Counselor | 2201 Blue Heron Blvd. W., Riviera Beach, FL 33404 | 2017-03-22 |
| 1841736923 | Tangeria Mckinney | Clinic/Center | 1992 West 16th Court Apt D, Riviera Beach, FL 33404 | 2017-01-12 |
| 1942742994 | Ambrosia Treatment Center | Substance Abuse Rehabilitation Facility | 2675 Lake Drive, Singer Island, FL 33404 | 2016-11-08 |
| 1225499874 | Rhesa Riley | Marriage & Family Therapist | 2001 Blue Heron Blvd W., Riviera Beach, FL 33404 | 2016-03-10 |
| Find all providers in zip 33404 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1518134048 | Golden Years Alf Corporation | Assisted Living Facility | 321 W Blue Heron Blvd, Riviera Beach, FL 33404-4432 | 2008-05-14 |
| 1710381736 | Swan S.p. Enterprises | Assisted Living Facility | 45 W 17th St, Riviera Beach, FL 33404-6121 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| 1548826480 | Comfort Alf LLC | Assisted Living Facility | 2122 N Myrtle Ave, Jacksonville, FL 32209-5633 | 2019-05-16 |
| 1124587753 | Theresa Home Care, Inc. | Assisted Living Facility | 485 Maple Way, Safety Harbor, FL 34695-2959 | 2019-03-13 |
| 1316414287 | A Heavenly Home, LLC | Assisted Living Facility | 1046-1048 Nw 8th Ave, Fort Lauderdale, FL 33311-3331 | 2018-10-30 |
| 1760958847 | Vitality Star Resort Alf LLC | Assisted Living Facility | 591 Sw Bradshaw Cir, Port St Lucie, FL 34953-5539 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | RIVIERA BEACH |
| Zip Code | 33404 |
Please comment or provide details below to improve the information on 1161 CAMBRIDGE LLC.
| 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.