Organization Active NPI

Riverfront Acquisition I LLC

Doing business as Residence at Bay Vue

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1083092035
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RIVERFRONT ACQUISITION I LLC
Doing business as
Residence at Bay Vue
Practice address
105 15TH St E
Bradenton, FL 34208-1337
Phone
(941) 747-8681
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mrs. Danielle Feminella
Title
VP of Finance
Phone
(914) 471-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FL Primary

Addresses

Primary practice location

105 15TH St E
Bradenton, FL 34208-1337

Mailing address

7751 W Broward Blvd
Plantation, FL 33324-2003
Phone (954) 473-8040

Other identifiers 1

IdentifierTypeStateIssuer
011159600MedicaidFL

Other names 1

  • Residence at Bay Vue 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": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1083092035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242003",
            "telephone_number": "954-473-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 15TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081337",
            "telephone_number": "941-747-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERFRONT ACQUISITION I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "FEMINELLA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "914-471-1022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011159600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residence at Bay Vue",
            "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 May 11, 2015; 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.