EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC
NPI 1184062259
Assisted Living Facility in Greenacres, FL
About Extended Care Portfolio Florida Tenant, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC (NPI 1184062259) is a healthcare organization registered as an assisted living facility in Greenacres, Florida and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Deepak Israni, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2330341
Extended Care Prtfolio Tenant LLC · Greenacres, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Extended Care Portfolio Florida Tenant, LLC's NPI number?
The NPI number for Extended Care Portfolio Florida Tenant, LLC is 1184062259. It was assigned to this organization in the NPPES registry on June 11, 2013.
Where is Extended Care Portfolio Florida Tenant, LLC located?
Extended Care Portfolio Florida Tenant, LLC is located at 4760 S Jog Rd, Greenacres, FL 33467. The listed phone number is (561) 434-0434.
What is Extended Care Portfolio Florida Tenant, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Extended Care Portfolio Florida Tenant, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2330341) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Extended Care Portfolio Florida Tenant, LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Extended Care Portfolio Florida Tenant, Llc · NPI 1184062259
Assisted Living Facility organization in Greenacres, Florida. Organization record, active in the CMS NPPES registry since June 11, 2013.
## Identity
- **NPI:** 1184062259 (Entity type: Organization)
- **Enumerated:** June 11, 2013
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** Yes (part of Extended Care Portfoliotenant, Llc)
- **Authorized official:** Deepak Israni, OWNER
## Practice location
- **Address:** 4760 S JOG RD, Greenacres, FL 33467-5119
- **Phone:** (561) 434-0434
## Record status
- **NPPES last updated:** September 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184062259) · Data from the CMS NPPES public registry.