FULLNESS OF LOVE ALF
NPI 1770927865
Assisted Living Facility in Miramar, FL

Active since April 19, 2013
3405 KNOLLS RD, MIRAMAR, FL 33025(954) 435-0354 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About FULLNESS OF LOVE ALF

This page provides the complete NPI Profile along with additional information for Fullness Of Love Alf, a provider established in Miramar, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1770927865 assigned on April 2013. The practitioner's primary taxonomy code is 310400000X with license number 11157 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Fullness Of Love Alf. The authorized official of this NPI record is Mac Mckoy (Vice President)

NPI
1770927865 Verify this NPI
Provider Legal Name
FULLNESS OF LOVE ASSISTED LIVING FACILITY
Other Organization Name
FULLNESS OF LOVE ALF
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3405 KNOLLS RD MIRAMAR, FL 33025
Location Phone
(954) 435-0354
Mailing Address
3405 KNOLLS RD MIRAMAR, FL 33025
Mailing Phone
(954) 435-0354
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2013
Last Update Date
04-19-2013
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
11157
License State
FL
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.

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

MAC MCKOY

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(954) 435-0354

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770927865, enumerated as an "organization" on April 19, 2013.

The provider is located at 3405 KNOLLS RD MIRAMAR, FL 33025 and the phone number is (954) 435-0354.

Assisted Living Facility with taxonomy code 310400000X.