Password BMWD LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PASSWORD BMWD LLC

Practice address

639 Michigan Blvd Apt 1500
Dunedin, FL 34698-2670

Phone

(727) 386-5195

NPI assigned

Jun 24, 2016

Last updated

Jun 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James A FagbodunNPI 1699126326

Title

Administrator

Phone

(813) 230-7628

Specialties & licenses 1

Addresses

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.

• James A Fagbodun, ADMINISTRATOR

  • Assisted Living Facility
  • Tampa, FL
  • NPI 1699126326
  Authorized official Same address or phone

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1144671744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 MICHIGAN BLVD APT 1500",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982670",
            "telephone_number": "727-386-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MICHIGAN BLVD APT 1500",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982670",
            "telephone_number": "727-386-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSWORD BMWD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "FAGBODUN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-230-7628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Osterman, APRN, FNP-BC
• Palm Medical Center Lakeland LLC
• Latha Pandurangan, M.D.
• Christine Rebecca Papazian, LMHC
• Parkplace of Dunedin Inc.
• Mehul K Patel, MD
• Purva Patel
• Patrice Moreno MD
• Robert William Patton Jr., M.D., J.D.
• Mary Teresa Paxson, R.D.H.

• Assisted Living Facility in Dunedin, FL
• Providers in Dunedin, 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 Jun 24, 2016; 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.