A & B Lifestyle Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5456 Issued in FL

Legal business name

A & B LIFESTYLE LIVING

Practice address

301 S Main Ave
Minneola, FL 34715-7436

Phone

(352) 857-6410

Fax

(352) 509-3046

NPI assigned

Feb 4, 2018

Organization subpart

No

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

Authorized official

Name

Elmer Y Arcenal

Title

Co Owner

Phone

(352) 857-6410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LEISURE MANOR OF LAKE Doing business as

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

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517702400000",
    "number": "1033618145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5552 SW 93RD LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344769580",
            "telephone_number": "352-857-6410",
            "fax_number": "352-509-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN AVE",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347157436",
            "telephone_number": "352-857-6410",
            "fax_number": "352-509-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & B LIFESTYLE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-04",
        "last_updated": "2018-02-04",
        "status": "A",
        "authorized_official_last_name": "ARCENAL",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "352-857-6410"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LIC NUMBER",
            "identifier": "5456",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEISURE MANOR OF LAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Minneola, FL
• Providers in Minneola, 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 4, 2018; 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.