The Ranch Alf, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12936 Issued in FL

Legal business name

THE RANCH ALF, INC

Practice address

4919 Lorraine Rd
Bradenton, FL 34211-9269

Phone

(941) 504-9412

Fax

(941) 761-5200

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Ann Bongart

Title

Owner / Operator

Phone

(941) 504-9412

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• The Ranch ALF Doing business as

Tax ID family

Lorraine Assisted Care Dba Melissa Ann Bongart3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lorraine Assisted Care Dba Melissa Ann Bongart

  • Adult Care Home Facility
  • Bradenton, FL
  • NPI 1609117621
  NPD tax ID
• Lorraine Assisted Care, Inc

  • Assisted Living Facility
  • Bradenton, FL
  • NPI 1053739920
  NPD tax ID

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1013455096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 LORRAINE RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119269",
            "telephone_number": "941-504-9412",
            "fax_number": "941-761-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 LORRAINE RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119269",
            "telephone_number": "941-504-9412",
            "fax_number": "941-761-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RANCH ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "BONGART",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "941-504-9412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12936",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL12936",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL12936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE NUMBER",
            "identifier": "AL12936",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019988800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ranch ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Bradenton, FL
• Providers in Bradenton, 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 May 10, 2017; 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.