MEDICARE: ROYAL PALM 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871264788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL PALM ALF LLC

Provider Business Mailing Address
First Line	:	5121 NE 19TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3712
Country	:	US
Telephone Number	:	954-491-4041
Fax Number	:	954-772-4657

Provider Business Practice Location Address
First Line	:	5121 NE 19TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3712
Country	:	US
Telephone Number	:	954-491-4041
Fax Number	:	954-772-4657

Authorized Official
Title or Position	:	CFO
Name	:	EUSEBIO NOBLEFRANCA
Credential	:
Telephone Number	:	954-592-0087

Provider Enumeration Date	:	09/22/2021
Last Update Date	:	10/05/2021

Similar Medicare Providers

1891130787 — WALT NOBLE INC.
Practice Location Address:

5121 NE 19TH AVE
FORT LAUDERDALE, FL
33308-3712

Practice Phone: 954-491-4041
Practice Fax: 954-772-4657

1700550068 — ALEXY CARBALLEIRA GIRALDO RBT
Practice Location Address:

3712 SW 12TH CT APT S
FORT LAUDERDALE, FL
33312-3456

Practice Phone: 786-587-9052
Practice Fax:

1760422513 — NORTH TEXAS RADIOLOGY PLLC
Practice Location Address:

3712 W 7TH STREET , SUITE A
FORT WORTH, TX
76107

Practice Phone: 817-738-6571
Practice Fax: 817-738-6573

1649324815 — MRS. PATRICIA CORREA LPC-S
Practice Location Address:

3712 WICHITA ST
FORT WORTH, TX
76119-2866

Practice Phone: 915-820-7341
Practice Fax:

1013042746 — ALL CHURCH HOME FOR CHILDREN
Practice Location Address:

3712 WICHITA ST
FORT WORTH, TX
76119-2866

Practice Phone: 817-335-4041
Practice Fax: 217-887-2735

1194040428 — ROCKWALL INVESTORS LIMITED, LLC
Practice Location Address:

3712 W 7TH ST STE B
FORT WORTH, TX
76107-2536

Practice Phone: 972-897-3280
Practice Fax:

Directions to “ROYAL PALM 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 © 2007-2025 (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.