Nokomis Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NOKOMIS ASSISTED LIVING

Practice address

336 Monet Dr
Nokomis, FL 34275-1357

Phone

(412) 401-7109

NPI assigned

Sep 27, 2021

Organization subpart

Yes

Parent organization

BRUCE-LAMPLEY HOMES, LLCAs reported in NPPES

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

Authorized official

Name

Kevon Bruce

Title

Managing Member

Phone

(412) 401-7109

Specialties & licenses 5

Addresses

Part of

Nokomis Assisted Living

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1114698255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 PIEDMONT AVE NE APT 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303095010",
            "telephone_number": "412-401-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MONET DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342751357",
            "telephone_number": "412-401-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOKOMIS ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUCE-LAMPLEY HOMES, LLC",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "KEVON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "412-401-7109"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Nokomis, FL
• Providers in Nokomis, 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 Sep 27, 2021; 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.