SOUTHERN COMFORT INN BED AND BREAKFAST (NPI# 1922394246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922394246 |
Entity Type | Organization |
Organization Name | SOUTHERN COMFORT INN BED AND BREAKFAST |
Other Organization Name | SOUTHERN COMFORT INN ADULT DAY CARE |
Practice Address |
2409 W Ravine Dr Ruskin FL 33570-5635 |
Practice Telephone | 8136456361 |
Mailing Telephone | 8136456361 |
Enumeration Date | 2011-06-24 |
Last Update Date | 2011-06-24 |
Authorized Official Name | MR. JOE GREEN (OWNER) |
Authorized Official Telephone | 8136456361 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
BNB3911919 | FL | Nursing & Custodial Care Facilities |
Y | 310400000X | Assisted Living Facility | BNB3911919 | FL | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Southern Comfort Inn Adult Day Care | Doing Business As Name - Organization |
Street Address |
2409 W RAVINE DR |
City | RUSKIN |
State | FL |
Zip Code | 33570-5635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619416609 | Southern Comfort Family Services | Assisted Living Facility | 2409 W Ravine Dr, Ruskin, FL 33570-5635 | 2017-02-23 |
1699196857 | Southern Comfort Bed & Breakfast,inc | Assisted Living Facility | 2409 W Ravine Dr, Ruskin, FL 33570-5635 | 2013-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
1063058394 | Billy Lane | Specialist/Technologist | Amazon Fullfillment Center Tpa1, 3350 Laurel Ridge Ave, Ruskin, FL 33570 | 2019-11-21 |
1366090946 | Our Hearts Home Care & Staffing LLC | Home Health | 239 Cascade Bend Dr, Ruskin, FL 33570 | 2019-08-28 |
1659892230 | Apollo Health Services | Pharmacy | 517 N Us Highway 41, Ruskin, FL 33570 | 2017-07-04 |
1215485404 | Natacha Noel | Custodial Care Facility | 1014 Cristelle Jean Dr., Ruskin, FL 33570 | 2016-09-15 |
1093170805 | Timothy Soliman Afch | Clinic/Center | 738 Tanana Fall Drive, Ruskin, FL 33570 | 2015-12-21 |
1952793606 | Jitendra Pansuria | Pharmacist | 1023 N Tamiami Trail, Ruskin, FL 33570 | 2015-03-04 |
1588078182 | Joyful Solutions Homemaker Sitter and Companion Services | Home Health | 1416 Delano Trent St., Ruskin, FL 33570 | 2014-06-12 |
1740541143 | Miguel Miron | Pharmacist | 2101 Roanoke Springs Drive, Ruskin, FL 33570 | 2012-06-01 |
1437385267 | Ramon E Guadalupe | Massage Therapist | 2232 Road Oak Spring Dr, Ruskin, FL 33570 | 2009-06-08 |
Find all providers in zip 33570 |
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 |
---|---|---|---|---|
1932711900 | C3 Consulting and Services Inc | Assisted Living Facility | 207 W College Ave, Ruskin, FL 33570-4535 | 2020-08-20 |
1619416609 | Southern Comfort Family Services | Assisted Living Facility | 2409 W Ravine Dr, Ruskin, FL 33570-5635 | 2017-02-23 |
1699196857 | Southern Comfort Bed & Breakfast,inc | Assisted Living Facility | 2409 W Ravine Dr, Ruskin, FL 33570-5635 | 2013-12-13 |
1316377351 | Fkp Sun City Senior Living Tenant LLC | Assisted Living Facility | 758 Cortaro Dr, Ruskin, FL 33573-6803 | 2013-11-12 |
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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 |
1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
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 |
Find all providers with the same taxonomy |
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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.