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ROYAL PALM SENIOR RESIDENCE
NPI 1871264788
Assisted Living Facility in Fort Lauderdale, FL

Active since September 22, 2021CLIA 10D2197704 · Waiver
5121 NE 19TH AVE, FORT LAUDERDALE, FL 33308(954) 491-4041(954) 772-4657 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2021, Sep 22, 2021 (2 updates tracked since 2021).

About Royal Palm Senior Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROYAL PALM SENIOR RESIDENCE (NPI 1871264788) is a healthcare organization registered as an assisted living facility in Fort Lauderdale, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Eusebio Noblefranca, Cfo, as its authorized official.

NPPES Registry Identity

NPI1871264788
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameROYAL PALM ALF LLC
Location Address5121 NE 19TH AVEFort Lauderdale, FL 33308-3712
Mailing Address5121 Ne 19th AveFort Lauderdale, FL 33308-3712 · (954) 491-4041 · Fax (954) 772-4657
Phone(954) 491-4041
Fax(954) 772-4657
Organization SubpartNo
Authorized OfficialEusebio NoblefrancaCfo · (954) 592-0087
Enumeration DateSeptember 22, 2021
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1871264788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
5121 NE 19TH AVE, Fort Lauderdale, FL 33308
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Other Names 1

Doing Business AsRoyal Palm Senior Residence

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 10D2197704

Royal Palm Alf LLC · Fort Lauderdale, FL
Active · expires Oct 26, 2026
CLIA Number10D2197704
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorRemedios Leong
Laboratory Phone(954) 491-4041
Laboratory LocationRoyal Palm Alf LLC5121 NE 19th Ave, Fort Lauderdale, FL 33308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALT NOBLE INC.
Assisted Living Facility
5121 NE 19TH AVE
FORT LAUDERDALE, FL 33308
Broward County (954) 491-4041

Frequently 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 Royal Palm Alf LLC's NPI number?

The NPI number for Royal Palm Alf LLC is 1871264788. It was assigned to this organization in the NPPES registry on September 22, 2021. The provider is doing business as Royal Palm Senior Residence.

Where is Royal Palm Alf LLC located?

Royal Palm Alf LLC is located at 5121 NE 19th Ave, Fort Lauderdale, FL 33308. The listed phone number is (954) 491-4041.

What is Royal Palm Alf LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Royal Palm Alf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2197704) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Royal Palm Alf LLC was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.