Organization Active NPI

Bear Creek Lessee LLC

  • Skilled Nursing Facility
  • Hudson, FL
National Provider Identifier
1093946782
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEAR CREEK LESSEE LLC
Practice address
8041 State Road 52
Hudson, FL 34667-6726
Phone
(727) 863-5488
Fax
(727) 862-9558
NPI assigned
Jul 29, 2009
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
James P. Earle III
Title
President
Phone
(615) 255-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8041 State Road 52
Hudson, FL 34667-6726

Mailing address

611 Commerce St
Suite 3125
Nashville, TN 37203-3742
Phone (615) 255-0009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1093946782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COMMERCE ST",
            "address_2": "SUITE 3125",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033742",
            "telephone_number": "615-255-0009",
            "fax_number": "615-242-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676726",
            "telephone_number": "727-863-5488",
            "fax_number": "727-862-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK LESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-255-0009",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.