MAJESTIC ON THE RIVER LLC (NPI# 1396119004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396119004 |
| Entity Type | Organization |
| Organization Name | MAJESTIC ON THE RIVER LLC |
| Practice Address |
408 Sw 7th Ave Fort Lauderdale FL 33312-2567 |
| Mailing Address |
7200 W Camino Real Suite 200 Boca Raton FL 33433-5511 |
| Practice Telephone | 9542664015 |
| Practice Fax Number | 9548396229 |
| Mailing Telephone | 9542664015 |
| Mailing Fax Number | 9548396229 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | ISRAELA HERSKOVITZ (PRESIDENT) |
| Authorized Official Telephone | 9542664015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
6628 | FL | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 6628 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENCE | 6628 | 01 |
| Street Address |
408 SW 7TH AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265072 | Privcap Manager | Assisted Living Facility | 408 Sw 7th Ave, Fort Lauderdale, FL 33312-2567 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
| 1063846392 | Orchid Diversifeld Services Inc | Assisted Living Facility | 1700 Ne 5th St, Fort Lauderdale, FL 33301-1326 | 2013-08-22 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on MAJESTIC ON THE RIVER 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.