HIBISCUS PALACE II ASSISTED LIVING FACILITY LLC. (NPI# 1306384326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306384326 |
| Entity Type | Organization |
| Organization Name | HIBISCUS PALACE II ASSISTED LIVING FACILITY LLC. |
| Practice Address |
12842 Buckland St Wellington FL 33414-6223 |
| Mailing Address |
7181 Via Leonardo Lake Worth FL 33467-5236 |
| Practice Telephone | 5615573513 |
| Practice Fax Number | 5619091548 |
| Mailing Telephone | 5613852532 |
| Mailing Fax Number | 5619091548 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | ANDREA MATTIS (ADMINISTRATOR) |
| Authorized Official Telephone | 5613852532 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | HIBISCUS PALACE ASSISTED LIVING FACILITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12943 | FL | Nursing & Custodial Care Facilities |
| Street Address |
12842 BUCKLAND ST |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| 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 |
|---|---|---|---|---|
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1912543141 | Silverstone Harborchase Wellington Operating, LLC | Assisted Living Facility | 8785 Lake Worth Rd, Wellington, FL 33467-2433 | 2019-11-22 |
| 1225673601 | Personal Touch Family Home 2, LLC | Assisted Living Facility | 1451 The 12th Fairway, Wellington, FL 33414-5708 | 2019-11-09 |
| 1912476490 | Wellington Senior Paradise Corp | Assisted Living Facility | 896 Lemongrass Ln, Wellington, FL 33414-8254 | 2018-11-14 |
| 1932658036 | Yvonne Lawrence | Assisted Living Facility | 13674 Staimford Dr, Wellington, FL 33414-8939 | 2016-09-29 |
| 1457808230 | Path of Life Assisted Living | Assisted Living Facility | 1240 Summerwood Cir, Wellington, FL 33414-5147 | 2016-09-08 |
| 1346600046 | Jonas Auguste | Assisted Living Facility | 1337 Pinetta Cir, Wellington, FL 33414-6015 | 2016-02-24 |
| 1962837351 | Taylors Adult Home Care Inc | Assisted Living Facility | 12450 Guilford Way, Wellington, FL 33414-4969 | 2013-09-05 |
| 1326470766 | Val's In Home Care,inc | Assisted Living Facility | 2646 Yarmouth Dr, Wellington, FL 33414-7649 | 2013-08-08 |
| 1710220850 | Residence At Paddock Park, Inc (the) | Assisted Living Facility | 14622 Paddock Dr, Wellington, FL 33414-7822 | 2013-03-27 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.