FOREVER YOUNG OF THE PALM BEACHES ADULT DAY CARE, LLC
NPI 1528464260
Clinic/Center - Adult Day Care in West Palm Beach, FL

Active since November 07, 2014
4650 PORTOFINO WAY, APT 212 BLDG 22, WEST PALM BEACH, FL 33409(561) 255-3029(561) 640-8277 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Day Care

About FOREVER YOUNG OF THE PALM BEACHES ADULT DAY CARE, LLC

This page provides the complete NPI Profile along with additional information for Forever Young Of The Palm Beaches Adult Day Care, Llc, a provider established in West Palm Beach, Florida operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1528464260 assigned on November 2014. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Shonda Jordan Walker Rn (Ceo/direct Owner)

NPI
1528464260 Verify this NPI
Provider Name
FOREVER YOUNG OF THE PALM BEACHES ADULT DAY CARE, LLC
Entity Type
Organization
Location Address
4650 PORTOFINO WAY APT 212 BLDG 22 WEST PALM BEACH, FL 33409
Location Phone
(561) 255-3029
Location Fax
(561) 640-8277
Mailing Address
4650 PORTOFINO WAY APT 212 BLDG 22 WEST PALM BEACH, FL 33409
Mailing Phone
(561) 255-3029
Mailing Fax
(561) 640-8277
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2014
Last Update Date
11-07-2014
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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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities

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

MRS. SHONDA JORDAN WALKER RN

Authorized Official Title
CEO/DIRECT OWNER
Authorized Official Phone
(561) 255-3029

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528464260, enumerated as an "organization" on November 07, 2014.

The provider is located at 4650 PORTOFINO WAY APT 212 BLDG 22 WEST PALM BEACH, FL 33409 and the phone number is (561) 255-3029.

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.