Organization Active NPI

Senior Living III SRQ LLC

  • Assisted Living Facility
  • Sarasota, FL
National Provider Identifier
1023407046
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12463 Issued in FL
Legal business name
SENIOR LIVING III SRQ LLC
Practice address
1900 Phillippi Shores Dr
Sarasota, FL 34231-3205
Phone
(941) 404-7888
NPI assigned
Jan 14, 2015
Last updated
Aug 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Billie Abreu
Title
Risk MGMT & Compliance Manager
Phone
(813) 330-2660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12463 FL Primary
Alzheimer Center (Dementia Center) 311500000X NU

Addresses

Primary practice location

1900 Phillippi Shores Dr
Sarasota, FL 34231-3205

Mailing address

4301 Anchor Plaza Pkwy Ste 400
Tampa, FL 33634-7529
Phone (813) 330-2660

National Provider Directory

National Provider Directory

Locations

1900 Phillippi Shores Dr
Sarasota, FL 34231
Phone (941) 404-6675

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1023407046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ANCHOR PLAZA PKWY STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347529",
            "telephone_number": "813-330-2660",
            "fax_number": "844-808-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PHILLIPPI SHORES DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313205",
            "telephone_number": "941-404-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING III SRQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "RISK MGMT & COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "813-330-2660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12463",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.