Seagrass PCB MC, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SEAGRASS PCB MC, LLC

Doing business as

Seagrass Village of Panama City Beach
The Landing of Panama City Beach

Practice address

401 N Alf Coleman Rd
Panama City Beach, FL 32407-2567

Phone

(850) 249-0707

NPI assigned

Mar 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Seth Walker

Title

Cfo

Phone

(850) 583-7990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Seagrass Village of Panama City Beach Doing business as
• The Landing of Panama City Beach Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1003374455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 BARRINGTON CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083888",
            "telephone_number": "850-583-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N ALF COLEMAN RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072567",
            "telephone_number": "850-249-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGRASS PCB MC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-583-7990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101956100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seagrass Village of Panama City Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Landing of Panama City Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Jean Schroedle, PSY.D.
• Kaitlyn Elizabeth Schultz
• Carlton S. Schwartz Jr., D.D.S.
• Scott Art Inc
• Adrienne Marie Seaborn
• Cristie Sealey
• Sonni Sears, MA
• Marqueta L Seeuws
• Gurprit Sekhon, MD
• Maryna Sencha

• Assisted Living Facility in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.