Spring of Light Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING OF LIGHT HOMES LLC

Practice address

405 Ellen Way
Brandon, FL 33510-3220

Phone

(505) 307-5837

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Yordanys Valdes, RN

Title

Registered Nurse/ Owner

Phone

(505) 307-5837

Specialties & licenses 1

Addresses

Other names 1

• Spring of Light Homes Doing business as

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"
        }
    ]
}

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• 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.