RUSTIC RETREAT FLORIDA LLC NPI 1386353886

NPI Information

  • NPI: 1386353886
  • Provider Name: RUSTIC RETREAT FLORIDA LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1120 N FEDERAL HWY
    BOYNTON BEACH, FL
    ZIP 33435
  • Phone: (561) 737-5881

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NPI Details

RUSTIC RETREAT FLORIDA LLC is an assisted living facility in Boynton Beach, FL. The provider is 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. RUSTIC RETREAT FLORIDA LLC NPI is 1386353886. The provider is registered as an organization entity type.

The provider's business location address is:

1120 N FEDERAL HWY
BOYNTON BEACH, FL
ZIP 33435-229
Phone: (561) 737-5881

The provider's authorized official is Samuel Sufrin .
The authorized official title is Member and has the following contact phone number (562) 517-0055.

The enumeration date for this NPI number is 11/23/2022 and was last updated on 11/23/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 11/21/2025

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