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ROYAL PALM SENIOR RESIDENCE
NPI 1891130787
Assisted Living Facility in Fort Lauderdale, FL

Active since May 06, 2013CLIA 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: May 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Royal Palm Senior Residence NPPES

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

ROYAL PALM SENIOR RESIDENCE (NPI 1891130787) is a healthcare organization registered as an assisted living facility in Fort Lauderdale, Florida and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Eusebio C Noblefranca, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891130787
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWALT NOBLE INC.
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 C NoblefrancaAdministrator · (954) 491-4041
Enumeration DateMay 6, 2013
✔ NPI 1891130787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL 5944
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 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.

ROYAL PALM ALF LLC
Assisted Living Facility
5121 NE 19TH AVE
FORT LAUDERDALE, FL 33308
Broward County (954) 491-4041

Frequently Asked Questions

What is WALT NOBLE INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1891130787, enumerated as an "organization" on May 06, 2013.

Where is the provider located?

The provider is located at 5121 NE 19TH AVE FORT LAUDERDALE, FL 33308 and the phone number is (954) 491-4041.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.