Healthcare Provider Details

I. General information

NPI: 1003748278
Provider Name (Legal Business Name): 239 NE 24 AVENUE INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 NE 24TH AVE
POMPANO BEACH FL
33062-4825
US

IV. Provider business mailing address

12806 SW 30TH ST
MIRAMAR FL
33027-5301
US

V. Phone/Fax

Practice location:
  • Phone: 305-525-1449
  • Fax:
Mailing address:
  • Phone: 305-525-1449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANANIAN
Title or Position: PRESIDENT
Credential:
Phone: 305-525-1449