Organization Active NPI

Samarino Retirement Home, Inc.

Doing business as Sunrise Retirement Home

  • Assisted Living Facility (Behavioral Disturbances)
  • Orlando, FL
National Provider Identifier
1043878473
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
SAMARINO RETIREMENT HOME, INC.
Doing business as
Sunrise Retirement Home
Practice address
850 N Hart Blvd
Orlando, FL 32818-6836
Phone
(352) 217-6708
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Ligaya Gatchalian-Valeros
Title
Administrator
Phone
(352) 217-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

850 N Hart Blvd
Orlando, FL 32818-6836

Mailing address

1517 Sundown LN
Clermont, FL 34711-2793
Phone (352) 217-6708

Other identifiers 1

IdentifierTypeStateIssuer
102130900MedicaidFL

Other names 1

  • Sunrise Retirement Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1043878473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 SUNDOWN LN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112793",
            "telephone_number": "352-217-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N HART BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186836",
            "telephone_number": "352-217-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARINO RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "GATCHALIAN-VALEROS",
        "authorized_official_first_name": "LIGAYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-217-6708"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102130900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.