LESLY'LEISURE LIVING II (NPI# 1750702783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750702783 |
| Entity Type | Organization |
| Organization Name | LESLY'LEISURE LIVING II |
| Practice Address |
6461 Nw 90th Ave Tamarac FL 33321-3621 |
| Practice Telephone | 9547245470 |
| Practice Fax Number | 9547219171 |
| Mailing Telephone | 9547245470 |
| Mailing Fax Number | 9547219171 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | MARC R THELOT (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 9546611285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 11220 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002679100 | 05 |
| Street Address |
6461 NW 90TH AVE |
| City | TAMARAC |
| State | FL |
| Zip Code | 33321-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1588204333 | Md Now Medical Centers Inc | Clinic/Center | 5817 N University Dr, Tamarac, FL 33321 | 2020-01-09 |
| 1992356919 | Ideal Smiles Dental Care | Clinic/Center | 6536 N. University Drive, Tamarac, FL 33321 | 2019-09-20 |
| 1447725551 | Keron Andrea Lee Cameron | Nurse Practitioner | 7961 Nw 90th Ave, Tamarac, FL 33321 | 2018-10-05 |
| 1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
| 1396244646 | Coral Springs Hyperberic Oxygen and Wound Care Center LLC | Clinic/Center | 8333 W Mcnab, 107, Tamarac, FL 33321 | 2018-02-01 |
| 1124542741 | Franklyn Internal Medicine, LLC | Hospitalist | 7201 North University Dr, Tamarac, FL 33321 | 2017-07-26 |
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1154861185 | Judith Ann Jacobs | Marriage & Family Therapist | 8400 N University Dr Ste 209, Tamarac, FL 33321 | 2017-02-23 |
| 1326584970 | Nelly Foeman | Behavior Technician | 5959 Royal Way, Tamarac, FL 33321 | 2017-01-06 |
| Find all providers in zip 33321 | ||||
| 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 |
|---|---|---|---|---|
| 1669946752 | Superior Care II Inc | Assisted Living Facility | 8025 Nw 83rd St, Tamarac, FL 33321-1745 | 2019-01-11 |
| 1235542572 | Loving Extended Family Home LLC | Assisted Living Facility | 5112 N Laurel Cir, Tamarac, FL 33319-3100 | 2014-06-04 |
| 1669893921 | Harborchase of Tamarac, Inc. | Assisted Living Facility | 6855 Nw 70th Ave, Tamarac, FL 33321-5326 | 2014-01-03 |
| 1033556733 | Gordon Heights, Inc | Assisted Living Facility | 9401 Nw 80th St, Tamarac, FL 33321-1408 | 2013-06-04 |
| 1881940542 | Lesly's Leisure Living Inc | Assisted Living Facility | 5841 Nw 56th Pl, Tamarac, FL 33319-2326 | 2012-07-31 |
| 1962794651 | New Horizon East Inc | Assisted Living Facility | 8112 Nw 74th Ter, Tamarac, FL 33321-4861 | 2011-05-12 |
| 1760797021 | Lakeview Retirement Residence, Inc. | Assisted Living Facility | 2304 Nw 52nd Ct, Tamarac, FL 33309-2681 | 2010-08-11 |
| 1861557464 | Active Senior Living Residence, Inc. | Assisted Living Facility | 9057 Nw 57th St, Tamarac, FL 33351-4305 | 2006-12-26 |
| 1295782530 | Heartland of Tamarac Fl LLC | Assisted Living Facility | 5901 Nw 79th Ave, Tamarac, FL 33321-4639 | 2006-05-30 |
| 1467089441 | The Pointe of Inverrary, LLC | Assisted Living Facility | 6700 W Commercial Blvd, Tamarac, FL 33319-2115 | 2020-03-27 |
| Find all providers in TAMARAC | ||||
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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.