Wares Creek Alf Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10653 Issued in FL

Legal business name

WARES CREEK ALF OPERATING LLC

Practice address

1725 Manatee Ave W
Bradenton, FL 34205-5924

Phone

(941) 746-5226

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Steve Schroeder

Title

Owner

Phone

(941) 746-5226

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OUR HOME AT WARE SCREEK Other name

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1124346820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055924",
            "telephone_number": "941-746-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055924",
            "telephone_number": "941-746-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARES CREEK ALF OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-746-5226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001570900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR HOME AT WARE SCREEK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beatrice Wang, DMD
• Junxi Wang, MD
• Keri Wanner, LMHC
• Erin Kelly Waranch, MS, RD, LD
• Suzanne Ware, PA-C
• Trenton Christopher Jeffrey Wargo
• Simon Mark Warner, PA-C
• Tracey Griffin Warner, ARNP
• Rebecca L Warnken
• Demetria D Warren, NCMA

• Assisted Living Facility in Bradenton, FL
• Providers in Bradenton, 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 6, 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.

Verify at the official NPI Registry.