MEDICARE: 2C1J MANAGEMENT III, 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	:	1760340236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2C1J MANAGEMENT III, LLC

Provider Business Mailing Address
First Line	:	1050 SW 24TH AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 SW 24TH AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7601
Country	:	US
Telephone Number	:	754-367-2376
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LON STECKLER
Credential	:
Telephone Number	:	754-367-2376

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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