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1033900097 NPI number — POMPANO BEACH SLC TENANT LLC

NPI Number: 1033900097
Health Care Provider/Practitioner: POMPANO BEACH SLC TENANT LLC

Information about “1033900097” NPI (POMPANO BEACH SLC TENANT LLC) exists in 1033900097 in HTML format HTML  |  1033900097 in plain Text format TXT  |  1033900097 in PDF (Portable Document Format) PDF  |  1033900097 in an XML format XML  formats.

NPI Number : 1033900097 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033900097",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "DHC FM TRS HOLDCO LLC",
    "ParentOrgTIN": null,
    "OrgName": "POMPANO BEACH SLC TENANT LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "255 WASHINGTON ST STE 230",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02458-1644",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-796-8300",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1371 S OCEAN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POMPANO BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33062-7130",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-796-8300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/16/2025",
    "LastUpdateDate": "05/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BILOTTO",
    "AuthorizedOfficialFirstName": "CHRISTOPHER",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "617-796-8387",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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