Active NPI
Sunset Lake Village, LLC
- Assisted Living Facility
- Venice, FL
National Provider Identifier
1114231388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9325
- Legal business name
- SUNSET LAKE VILLAGE, LLC
- Practice address
- 1121 Jacaranda Blvd
Venice, FL 34292-4586 - Phone
- (941) 497-1117
- Fax
- (941) 492-3455
- NPI assigned
- Jul 30, 2010
- Organization subpart
- Yes
- Parent organization
- SPRING HAVEN RETIREMENT LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Farina
- Title
- Business Office Manager
- Phone
- (941) 497-1117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL9325 | FL | Primary |
Addresses
Primary practice location
1121 Jacaranda Blvd
Venice, FL 34292-4586
Mailing address
1121 Jacaranda Blvd
Venice, FL 34292-4586
Phone (941) 497-1117
National Provider Directory
National Provider Directory- Part of
- Spring Haven Retirement LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Assisted Living Facility
- Winter Haven, FL
- NPI 1417175860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280448000000",
"number": "1114231388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924586",
"telephone_number": "941-497-1117",
"fax_number": "941-492-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924586",
"telephone_number": "941-497-1117",
"fax_number": "941-492-3455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET LAKE VILLAGE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPRING HAVEN RETIREMENT LLC",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A",
"authorized_official_last_name": "FARINA",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "941-497-1117"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL9325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
- Suncoast Pelvic Therapy & Wellness, PLLC
- Suncoast Trim Clinic, LLC
- Sunline Transportation LLC
- Sunset Lake Healthcare and Rehabilitation Center LLC
- Sunset Lake Surgery Center LLC
- Sunshine Health Care Services, LLC (A Better Solution)
- Sunshine Health Care Services, LLC (A Better Solution of Sarasota)
- Sunshine Pediatric Care
- Sunshine Sport and Spine, LLC
- Marguerite Marie Surette, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.