Organization Active NPI

Greenbriar Retirement

  • Assisted Living Facility
  • Apopka, FL
National Provider Identifier
1023294899
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9202 Issued in FL
Legal business name
GREENBRIAR RETIREMENT
Practice address
3615 McNeil Rd
Apopka, FL 32703-6818
Phone
(407) 433-6424
Fax
(407) 521-2901
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Mrs. Corazon M. Bagsiyao, R.N.
Title
Administrator
Phone
(407) 433-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9202 FL Primary

Addresses

Primary practice location

3615 McNeil Rd
Apopka, FL 32703-6818

Mailing address

3615 McNeil Rd
Apopka, FL 32703-6818
Phone (407) 433-6424

Other identifiers 1

IdentifierTypeStateIssuer
689265500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Bagsiyao Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1535 Care Pt
Apopka, FL 32703
Phone (407) 433-6424

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1023294899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 MCNEIL RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036818",
            "telephone_number": "407-433-6424",
            "fax_number": "407-521-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 MCNEIL RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036818",
            "telephone_number": "407-433-6424",
            "fax_number": "407-521-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIAR RETIREMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BAGSIYAO",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-433-6424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689265500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.