MG Port Charlotte II Subtenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MG PORT CHARLOTTE II SUBTENANT LLC

Doing business as

Truewood by Merrill, Charlotte Center

Practice address

18400 Cochran Blvd
Port Charlotte, FL 33948-3343

Phone

(941) 766-8900

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Douglas D. Spear

Title

Authorized Representative

Phone

(206) 676-5300

Specialties & licenses 1

Addresses

Other names 1

• Truewood by Merrill, Charlotte Center Doing business as

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1083242945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 FAIRVIEW AVE E STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023650",
            "telephone_number": "206-676-5300",
            "fax_number": "206-676-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339483343",
            "telephone_number": "941-766-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG PORT CHARLOTTE II SUBTENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "206-676-5300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Truewood by Merrill, Charlotte Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Truewood by Merrill, Charlotte Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merona Grey
• Metro Treatment of Florida, LP (New Season Treatment Center 30)
• Tetyana Metyk, MD
• Alla Mezhevaya, RDMS, RVT, RDCS
• MG Port Charlotte I Subtenant LLC (Truewood by Merrill, Port Charlotte)
• Michael a, Coffey MD PA
• Michael D Mozzetti MD PL (Express Care Medical Cinic)
• Michael R Harper DDS PA
• Michael T. McCormick & Associates PA
• Natalie Middlebrooks, LMT

• Assisted Living Facility in Port Charlotte, FL
• Providers in Port Charlotte, 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 May 25, 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.