Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

2065 Inc Dba Fort Lauderdale Retirement Home

Organization Assisted Living Facility (Mental Illness) · NPI 1568880565

2065 Inc Dba Fort Lauderdale Retirement Home is an Assisted Living Facility (Mental Illness) in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 SE 12th Ct
Fort Lauderdale, FL 33316-1919
Phone: (954) 270-6322
Fax: (954) 423-1674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence ALF6634 (FL)

Record details

NPI number1568880565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Heath — Administrator/Owner · (954) 270-6322
Other names Fort Lauderdale Retirement Home
NPI enumeratedApril 7, 2014
Last updated in NPPESApril 7, 2014
Mailing address401 Se 12th Ct, Fort Lauderdale, FL 33316-1919

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