Organization Active NPI

Senior Garden Asssisted Living, LLC

  • Assisted Living Facility
  • Orlando, FL
National Provider Identifier
1093175812
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12796 Issued in FL
Legal business name
SENIOR GARDEN ASSSISTED LIVING, LLC
Practice address
4034 Eagle Feather Dr
Orlando, FL 32829
Phone
(407) 731-3392
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Mrs. Canidida Rolon
Title
Owner
Phone
(407) 731-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12796 FL Primary

Addresses

Primary practice location

4034 Eagle Feather Dr
Orlando, FL 32829

Mailing address

4034 Eagle Feather Dr
Or, FL 32829
Phone (407) 731-3392

Other names 1

  • assisted living facility Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1093175812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 EAGLE FEATHER DR",
            "city": "OR",
            "state": "FL",
            "postal_code": "32829",
            "telephone_number": "407-731-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 EAGLE FEATHER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32829",
            "telephone_number": "407-731-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR GARDEN ASSSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "CANIDIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-731-3392",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "assisted living facility",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.