Provider Demographics
NPI:1063207082
Name:ONEY ASSISTED LIVING LLC
Entity type:Organization
Organization Name:ONEY ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:NELCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-506-1290
Mailing Address - Street 1:4676 MEE CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-5039
Mailing Address - Country:US
Mailing Address - Phone:561-506-1290
Mailing Address - Fax:
Practice Address - Street 1:4676 MEE CT
Practice Address - Street 2:
Practice Address - City:LAKE WORTH BEACH
Practice Address - State:FL
Practice Address - Zip Code:33461-5039
Practice Address - Country:US
Practice Address - Phone:561-506-1290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13975OtherAHCA