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FLORIDA ATLANTIC UNIVERSITY NPI 1053736405


NPI Information

NPI: 1053736405
Provider Name: FLORIDA ATLANTIC UNIVERSITY

Doing Business As: FLORIDA ATLANTIC UNIVERSITY ALZHEIMER'S PREVENTION CLINIC

Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization

CLIA Number: 10D2195511

Address:
777 GLADES RD
OFFICE BUILDING 1
BOCA RATON, FL
ZIP 33431
Phone: (561) 566-5328
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FLORIDA ATLANTIC UNIVERSITY is an alzheimer center dementia center in Boca Raton, FL. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. FLORIDA ATLANTIC UNIVERSITY NPI is 1053736405. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Atlantic University Alzheimer's Prevention Clinic.

The provider's business location address is:

777 GLADES RD
OFFICE BUILDING 1
BOCA RATON, FL
ZIP 33431-496
Phone: (561) 566-5328
Fax: (561) 299-4220

The provider's authorized official is Louisa Pontiroli-kelly .
The authorized official title is Authorized Official and has the following contact phone number (561) 297-2897.

The CLIA number assigned to this NPI record is 10D2195511 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2014 and was last updated on 4/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3311500000XAlzheimer Center (Dementia Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000000OTHERFLORIDAALZHEIMER'S PREVENTION CLINIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.