Senior Graces LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL#9965 Issued in FL

Legal business name

SENIOR GRACES LLC

Doing business as

HEART OF FLORIDA ASSISTED LIVING

Practice address

301 S 10TH St
Haines City, FL 33844-5601

Phone

(863) 421-9581

Fax

(863) 422-9581

NPI assigned

Feb 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Pier Gasmena

Title

Cfo

Phone

(863) 595-7353

Specialties & licenses 1

Addresses

Other names 1

• HEART OF FLORIDA ASSISTED LIVING Doing business as

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1033416466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BON AIR ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054631",
            "telephone_number": "863-688-1196",
            "fax_number": "863-687-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445601",
            "telephone_number": "863-421-9581",
            "fax_number": "863-422-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR GRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "GASMENA",
        "authorized_official_first_name": "PIER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-595-7353",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL#9965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEART OF FLORIDA ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Andreina Santana Betances, MD
• Andres Emmanuel Santana Sr.
• Johana Santiago-Torres, MD
• Alexandra Lauren Savage
• Janise Schlater
• Senior Living Properties II,LLC
• Ruth Servius, FNP
• Jessica M. Shaughnessy-Malloy, L.M.T.
• Bilal Siddiqi
• Sara N Silva

• Assisted Living Facility in Haines City, FL
• Providers in Haines City, 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 Feb 21, 2011; 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.