Park View of Brandon LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

13158 Issued in FL

Legal business name

PARK VIEW OF BRANDON LLC

Practice address

1502 Bryan Rd
Brandon, FL 33511-6835

Phone

(813) 502-6308

NPI assigned

Jun 1, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Jean Roberson

Title

Administrator

Phone

(813) 786-9645

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1104318435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 BRYAN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116835",
            "telephone_number": "813-502-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BRYAN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116835",
            "telephone_number": "813-502-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VIEW OF BRANDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-786-9645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana William Papatheodorou, M.D.
• Laura Frances Papp, RMHCI
• Jamie Pappa
• Sonam Parag
• Maggie Parchman
• In Soon Park, MD
• David Grant Parker, DDS
• Latasha Parks
• Stephen David Parks, M.D.
• Jennifer Parrish, PT

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, 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 Jun 1, 2018; 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.