SENIOR LIVING III SRQ LLC (NPI# 1023407046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023407046 |
| Entity Type | Organization |
| Organization Name | SENIOR LIVING III SRQ LLC |
| Practice Address |
1900 Phillippi Shores Dr Sarasota FL 34231-3205 |
| Mailing Address |
4301 Anchor Plaza Pkwy Ste 400 Tampa FL 33634-7529 |
| Practice Telephone | 9414047888 |
| Mailing Telephone | 8133302660 |
| Mailing Fax Number | 8448080071 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | BILLIE ABREU (RISK MGMT & COMPLIANCE MANAGER) |
| Authorized Official Telephone | 8133302660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | AL12463 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1900 PHILLIPPI SHORES DR |
| City | SARASOTA |
| State | FL |
| Zip Code | 34231-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292581 | Vanessa M Carmody | Occupational Therapist | 3938 South Tamiami Trail, Sarasota, FL 34231 | 2018-10-24 |
| 1982100194 | Manasota Cares LLC | In Home Supportive Care | 1832 Bayonne St, Sarasota, FL 34231 | 2018-04-05 |
| 1992166003 | Szilvia Lorincz | Nurse Practitioner | 5626 Nutmeg Ave, Sarasota, FL 34231 | 2016-03-16 |
| 1427440684 | Sarasota Primary Care, LLC | Family Medicine | 3333 Clark Rd Ste 190, Sarasota, FL 34231 | 2015-02-25 |
| 1689062887 | Brian Suchan | Hearing Instrument Specialist | 4858 S. Tamiami Trail, Sarasota, FL 34231 | 2014-12-23 |
| 1235572108 | Re-align Exercise Therapy | Clinic/Center | 5210 Palos Verdes Dr, Sarasota, FL 34231 | 2013-04-10 |
| 1346580016 | Karen Lee Bechtold | Physical Therapist | 6553 Gulf Gate Pl Apt 248, Sarasota, FL 34231 | 2013-02-18 |
| 1356688956 | Julius Stone | Dermatology | 5430 Eagle's Point Circle, #103, Sarasota, FL 34231 | 2013-01-16 |
| 1033465034 | Melissa Berry | Occupational Therapist | 2140 Brueckner Drive, Sarasota, FL 34231 | 2012-07-27 |
| 1518233477 | Wigs and Hair Extensions of Sarasota Inc. | Durable Medical Equipment & Medical Supplies | 2412 Stickney Point Road, Sarasota, FL 34231 | 2012-03-26 |
| Find all providers in zip 34231 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1417445685 | Sunniland Assisted Living Facility,llc | Assisted Living Facility | 4234 Sunniland St, Sarasota, FL 34233-1817 | 2018-04-24 |
| 1275042186 | Senior Living Properties Iv, LLC | Assisted Living Facility | 7130 Beneva Rd, Sarasota, FL 34238-2870 | 2017-09-22 |
| 1205379682 | Arc Bahia Oaks, Inc. | Assisted Living Facility | 2186 Bahia Vista St, Sarasota, FL 34239-2401 | 2016-12-02 |
| 1679957757 | Josefa's Alf Corp | Assisted Living Facility | 3567 Bali Dr, Sarasota, FL 34232-5505 | 2015-07-17 |
| 1356743983 | M&a of Sarasota | Assisted Living Facility | 3548 Sea View St, Sarasota, FL 34239-3417 | 2014-09-26 |
| 1457751521 | Autumn of Sarasota LLC | Assisted Living Facility | 3251 Proctor Rd, Sarasota, FL 34231-8538 | 2014-08-26 |
| 1760894406 | Aurora Manor, Inc. | Assisted Living Facility | 2841 6th St, Sarasota, FL 34237-4606 | 2014-05-29 |
| 1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
| 1780007112 | Tina's Assisted Living Facility Corp | Assisted Living Facility | 1172 Tarpon Ave, Sarasota, FL 34237-3745 | 2014-01-21 |
| Find all providers in SARASOTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.