Provider Demographics
NPI:1689178337
Name:ELFBRA ONE INVESTMENT, LLC
Entity Type:Organization
Organization Name:ELFBRA ONE INVESTMENT, LLC
Other - Org Name:ARGO SENIOR LIVING AT HAVERHILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTORNEY FOR FACILITY MANAGEMENT CO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VOIGT
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:312-648-2300
Mailing Address - Street 1:2939 S HAVERHILL RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-8118
Mailing Address - Country:US
Mailing Address - Phone:561-963-8963
Mailing Address - Fax:
Practice Address - Street 1:2939 S HAVERHILL RD UNIT B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-8118
Practice Address - Country:US
Practice Address - Phone:561-963-8963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility