Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

2065 Inc Dba Fort Lauderdale Retirement Home

Assisted Living Facility (Mental Illness) in Fort Lauderdale, FL · enumerated 2014 · authorized official Jackie Heath, Administrator/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568880565

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name 2065 Inc Dba Fort Lauderdale Retirement Home

Other name <Unavail>

Practice address 401 Se 12th Ct, Fort Lauderdale, FL, 33316

Phone (954) 270-6322

Fax (954) 423-1674

Enumeration date Apr 7, 2014

Last updated in NPPES Apr 7, 2014

Taxonomy & classification

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities · License ALF6634 (FL) Primary

Authorized official

Name Jackie Heath

Title Administrator/Owner

Phone (954) 270-6322

Other identifiers

Identifier	Type	State	Issuer
140290100	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is 2065 Inc Dba Fort Lauderdale Retirement Home?

2065 Inc Dba Fort Lauderdale Retirement Home is registered in NPPES as a Assisted Living Facility (Mental Illness) (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-04-07.