Active NPI
100 John Knox Rd Tenant LLC
Doing business as The Gables of Tallahassee
- Assisted Living Facility
- Tallahassee, FL
National Provider Identifier
1023846045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- 100 JOHN KNOX RD TENANT LLC
- Doing business as
- The Gables of Tallahassee
- Practice address
- 100 John Knox Rd
Tallahassee, FL 32303-6673 - Phone
- (334) 322-8719
- NPI assigned
- Jul 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Makowsky
- Title
- Authorized Representative
- Phone
- (419) 247-2800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
100 John Knox Rd
Tallahassee, FL 32303-6673
Mailing address
8415 E 21St St N Ste 100
Wichita, KS 67206-2959
Phone (316) 616-6288
Other names 1
- The Gables of Tallahassee
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0973139 | Gables of Tallahassee, the | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1023846045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 E 21ST ST N STE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062959",
"telephone_number": "316-616-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JOHN KNOX RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036673",
"telephone_number": "334-322-8719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "100 JOHN KNOX RD TENANT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "MAKOWSKY",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "419-247-2800"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Gables of Tallahassee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.