Southwest Retirement Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6688 Issued in FL

Legal business name

SOUTHWEST RETIREMENT HOME, INC.

Practice address

3207 SW 42ND PL
Gainesville, FL 32608-2624

Phone

(352) 338-0252

Fax

(352) 338-0252

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Go

Title

Owner/Adminstrator

Phone

(352) 338-0252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1083057459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 SW 42ND PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082624",
            "telephone_number": "352-338-0252",
            "fax_number": "352-338-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 SW 42ND PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082624",
            "telephone_number": "352-338-0252",
            "fax_number": "352-338-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "352-338-0252",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Gainesville, FL
• Providers in Gainesville, 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 Apr 16, 2013; 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.