ORIGIN HOSPITALITY LLC (NPI# 1841532025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841532025 |
| Entity Type | Organization |
| Organization Name | ORIGIN HOSPITALITY LLC |
| Other Organization Name | SILVER CREEK ASSISTED LIVING ST. CLOUD |
| Practice Address |
2910 Old Canoe Creek Rd Saint Cloud FL 34772 |
| Mailing Address |
17503 La Cantera Pkwy #104618 San Antonio TX 78257 |
| Practice Telephone | 4075931524 |
| Practice Fax Number | 4075931525 |
| Mailing Telephone | 8323852295 |
| Mailing Fax Number | 8555572835 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MR. MITESH PATEL (MANAGING MEMBER) |
| Authorized Official Telephone | 8323852295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL11478 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Silver Creek Assisted Living St. Cloud | Doing Business As Name - Organization |
| Sunshine Quest Acres | Doing Business As Name - Organization |
| Street Address |
2910 OLD CANOE CREEK RD |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1720452436 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 | 2015-11-18 |
| 1437767464 | Laurie Ann Tacey | Nurse Practitioner | 2526 Pickett Ave, Saint Cloud, FL 34772-0002 | 2020-07-15 |
| Find all providers in zip 34772 | ||||
| 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 |
|---|---|---|---|---|
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1285140251 | Sanctuary St. Cloud Operations, LLC | Assisted Living Facility | 2410 20th Ave Se, Saint Cloud, MN 56304-4708 | 2017-12-28 |
| 1336586270 | Senior Housing Solutions of Florida, LLC | Assisted Living Facility | 4319 Neptune Rd, Saint Cloud, FL 34769-6746 | 2013-06-02 |
| 1831417559 | Benedict Court | Assisted Living Facility | 1980 15th Ave Se, Saint Cloud, MN 56304-2380 | 2010-05-05 |
| 1558689281 | Benedict Homes | Assisted Living Facility | 1340 Minnesota Blvd, Saint Cloud, MN 56304-2435 | 2010-05-05 |
| 1285813121 | Royal Gardens of St. Cloud,llc | Assisted Living Facility | 4511 Neptune Rd, Saint Cloud, FL 34769-6738 | 2007-10-28 |
| 1558709683 | Talahi Nursing & Rehab Center LLC | Assisted Living Facility | 1717 University Dr Se, Saint Cloud, MN 56304-2023 | 2013-06-11 |
| 1649343559 | Talahi Home Health, LLC | Assisted Living Facility | 1717 University Dr Se, Saint Cloud, MN 56304-2023 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| 1831798289 | Siloam Health Care Services | Assisted Living Facility | 1205 Neville Ave, Lakeland, FL 33805-4144 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
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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.