NPIMap

Organization Active NPI

Lorraine Assisted Care, Inc

Doing business as The Ranch Assited Living Facility

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1053739920
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12366 Issued in FL
Legal business name
LORRAINE ASSISTED CARE, INC
Doing business as
The Ranch Assited Living Facility
Practice address
5916 Lorraine Rd
Bradenton, FL 34211-9208
Phone
(941) 504-9412
Fax
(941) 761-5200
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mrs. Melissa Ann Bongart
Title
Owner/Administrator
Phone
(941) 504-9412

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X AL12366 FL
Assisted Living Facility 310400000X AL12366 FL Primary
Adult Care Home Facility 311ZA0620X AL12366 FL
Respite Care 385H00000X AL12366 FL

Addresses

Primary practice location

5916 Lorraine Rd
Bradenton, FL 34211-9208

Mailing address

5916 Lorraine Rd
Bradenton, FL 34211-9208
Phone (941) 504-9412

Other identifiers 1

IdentifierTypeStateIssuer
004043700MedicaidFL

Other names 1

  • The Ranch Assited Living Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lorraine Assisted Care Dba Melissa Ann Bongart3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1053739920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 LORRAINE RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119208",
            "telephone_number": "941-504-9412",
            "fax_number": "941-761-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 LORRAINE RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119208",
            "telephone_number": "941-504-9412",
            "fax_number": "941-761-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE ASSISTED CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "BONGART",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "941-504-9412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "AL12366",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12366",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "AL12366",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL12366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004043700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ranch Assited Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.