MEDICARE: SHANGRI-LA AT RIVIERA ALF LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1609629658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANGRI-LA AT RIVIERA ALF LLC

Provider Business Mailing Address
First Line	:	132 ASCEND CIR UNIT 9103
Second Line	:
City	:	WEST MELBOURNE
State	:	FL
Zip	:	32904-8751
Country	:	US
Telephone Number	:	321-507-8722
Fax Number	:	321-821-1395

Provider Business Practice Location Address
First Line	:	868 RIVIERA DR NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-4438
Country	:	US
Telephone Number	:	321-327-5458
Fax Number	:	321-676-8271

Authorized Official
Title or Position	:	ASST. ADMINISTRATOR
Name	:	MR. ERNEST ROGER LAPOINTE
Credential	:
Telephone Number	:	321-507-8722

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	04/09/2024

Similar Medicare Providers

1194883587 — JULAINE B FELD LCSW
Practice Location Address:

120 S WEBSTER AVE
GREEN BAY, WI
54301-4438

Practice Phone: 920-884-8138
Practice Fax: 920-884-8148

1053450015 — JULIE FELD AND ASSOCIATES LLC
Practice Location Address:

120 S WEBSTER AVE
GREEN BAY, WI
54301-4438

Practice Phone: 920-884-8138
Practice Fax: 920-884-8148

1770737108 — MOBILE DOCTOR SERVICES
Practice Location Address:

948 PATRICK DR , SUITE A
WEST PALM BEACH, FL
33406-4438

Practice Phone: 561-352-3565
Practice Fax:

1902121080 — S & L HEALTHCARE MARKETING AND CONSULTING, LLC
Practice Location Address:

948 PATRICK DR , SUITE A
WEST PALM BEACH, FL
33406-4438

Practice Phone: 561-352-3565
Practice Fax: 561-688-0120

1386902963 — MOBILE DOCTOR SERVICES, LLC
Practice Location Address:

948 PATRICK DR , SUITE A
WEST PALM BEACH, FL
33406-4438

Practice Phone: 561-352-3565
Practice Fax:

1275086787 — PHAROS MANAGEMENT GROUP
Practice Location Address:

1003 VIRGINIA AVE
PALM HARBOR, FL
34683-4438

Practice Phone: 727-754-9497
Practice Fax: 727-281-4444

Directions to “SHANGRI-LA AT RIVIERA ALF LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.