Island Splendor Alf, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9487 Issued in FL

Legal business name

ISLAND SPLENDOR ALF, INC

Practice address

1155 18TH Ave SW
Largo, FL 33778-1116

Phone

(727) 585-9788

Fax

(727) 585-3748

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Miss Elsa M Johnson

Title

Administrator

Phone

(727) 585-9788

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Island Splendor Alf Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Island Splendor Alf Inc.

  • Assisted Living Facility
  • Seminole, FL
  • NPI 1801217914
  NPD tax ID

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1114074226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 18TH AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337781116",
            "telephone_number": "727-585-9788",
            "fax_number": "727-585-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 18TH AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337781116",
            "telephone_number": "727-585-9788",
            "fax_number": "727-585-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SPLENDOR ALF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-585-9788",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678677496",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140313300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• J. Paonessa M.D. P.a.

• Assisted Living Facility in Largo, FL
• Providers in Largo, 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 27, 2008; 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.