Spring of Light Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING OF LIGHT HOMES LLC

Doing business as

Spring of Light Homes

Practice address

405 Ellen Way
Brandon, FL 33510-3220

Phone

(505) 307-5837

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yordanys Valdes, RNNPI 1770241572

Title

Registered Nurse/ Owner

Phone

(505) 307-5837

Specialties & licenses 1

Addresses

Other names 1

• Spring of Light Homes Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yordanys Valdes, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1770241572
  Authorized official Same address or phone

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1003411265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ELLEN WAY",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103220",
            "telephone_number": "505-307-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ELLEN WAY",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103220",
            "telephone_number": "505-307-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OF LIGHT HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "YORDANYS",
        "authorized_official_title_or_position": "REGISTERED NURSE/ OWNER",
        "authorized_official_telephone_number": "505-307-5837",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring of Light Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• Sports and Orthopedic Rehabilitation Services Inc
• Randall Israel Newton Sprague, D.C.
• Raun Spranger
• Sara Spratt
• Sri of Brandon MC, LLC (Superior Residences of Brandon)
• St. Jude Medical & Aesthetic Care Center, LLC (St. Jude Medical Center & Aesthetic Care)
• Kimberly Stabler, OTA
• Dannielle Tremaine Stafford
• Douglas Scott Stafford, D.M.D.

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, 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 Dec 3, 2020; 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.