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

Extended Care Portfolio Florida Tenant, LLC

Organization Assisted Living Facility · NPI 1184062259

Extended Care Portfolio Florida Tenant, LLC is an Assisted Living Facility in Greenacres, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4760 S Jog Rd
Greenacres, FL 33467-5119
Phone: (561) 434-0434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL9666 (FL)
Assisted Living Facility Taxonomy 310400000X · Licence AL99 (FL)
Assisted Living Facility Taxonomy 310400000X · Licence AL9409 (FL)

Record details

NPI number1184062259
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationExtended Care Portfoliotenant, LLC
Authorized official Deepak Israni — Owner · (619) 296-9000
NPI enumeratedJune 11, 2013
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address1775 Hancock St Ste 200, San Diego, CA 92110-2036

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