The Sevilleno Group, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE SEVILLENO GROUP, LLC

Doing business as

Entrusted Care Alf at Heathrow

Practice address

405 Kimberly CT
Sanford, FL 32771-6006

Phone

(321) 926-3191

NPI assigned

Dec 4, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Cherie Mae SevillenoNPI 1124339411

Title

Assistant Administrator

Phone

(765) 749-7286

Specialties & licenses 1

Addresses

Other names 1

• ENTRUSTED CARE ALF AT HEATHROW Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cherie Mae Ymbong Sevilleno, PT

  • Physical Therapist
  • Orlando, FL
  • NPI 1124339411
  NPD Authorized official

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638576000000",
    "number": "1043978224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 KIMBERLY CT",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716006",
            "telephone_number": "321-926-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KIMBERLY CT",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716006",
            "telephone_number": "321-926-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SEVILLENO GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A",
        "authorized_official_last_name": "SEVILLENO",
        "authorized_official_first_name": "CHERIE MAE",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "765-749-7286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENTRUSTED CARE ALF AT HEATHROW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sanford, FL
• Providers in Sanford, 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 Dec 4, 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.