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SOMH BOCA RATON OPERATING, LLC
NPI 1114527744
Assisted Living Facility in Boca Raton, FL

Active since November 01, 2020
21865 PONDEROSA DR, BOCA RATON, FL 33428(561) 571-7018(561) 482-5033 Get Directions Write a Review

NPPES record last updated: November 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About SOMH BOCA RATON OPERATING, LLC

This page provides the complete NPI Profile along with additional information for Somh Boca Raton Operating, Llc, a provider established in Boca Raton, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1114527744 assigned on November 2020. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Henry James Vaughn (Reimbursement Analyst)

NPI
1114527744 Verify this NPI
Provider Name
SOMH BOCA RATON OPERATING, LLC
Entity Type
Organization
Location Address
21865 PONDEROSA DR BOCA RATON, FL 33428
Location Phone
(561) 571-7018
Location Fax
(561) 482-5033
Mailing Address
21865 PONDEROSA DR BOCA RATON, FL 33428
Mailing Phone
(561) 571-7018
Mailing Fax
(561) 482-5033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2020
Last Update Date
11-01-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HENRY JAMES VAUGHN

Authorized Official Title
REIMBURSEMENT ANALYST
Authorized Official Phone
(240) 595-6025

Reviews for SOMH BOCA RATON OPERATING, LLC

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Frequently Asked Questions

What is SOMH BOCA RATON OPERATING, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1114527744, enumerated as an "organization" on November 01, 2020.

Where is the provider located?

The provider is located at 21865 PONDEROSA DR BOCA RATON, FL 33428 and the phone number is (561) 571-7018.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.