Organization Active NPI

Siesta Key Residential Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sarasota, FL
National Provider Identifier
1134035686
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SIESTA KEY RESIDENTIAL SERVICES LLC
Practice address
2075 Main St Ste 19
Sarasota, FL 34237-6031
Phone
(941) 899-0850
Fax
(941) 761-5495
NPI assigned
Aug 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Ranya K KargboNPI 1023916061
Title
Owner
Phone
(941) 960-9146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2075 Main St Ste 19
Sarasota, FL 34237-6031

Mailing address

2075 Main St Ste 19
Sarasota, FL 34237-6031
Phone (941) 899-0850

National Provider Directory

National Provider Directory

Locations

2075 Main St
Ste 19
Sarasota, FL 34237
Phone (941) 899-0850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1134035686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 MAIN ST STE 19",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376031",
            "telephone_number": "941-899-0850",
            "fax_number": "941-761-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 MAIN ST STE 19",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376031",
            "telephone_number": "941-899-0850",
            "fax_number": "941-761-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIESTA KEY RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "RANYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-960-9146"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.