RSC Dunnellon Harbor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8142 Issued in FL

Legal business name

RSC DUNNELLON HARBOR LLC

Practice address

12080 SW Highway 484
Dunnellon, FL 34432

Phone

(954) 613-2300

Fax

(954) 613-2301

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Geremy Jordan

Title

Manager

Phone

(954) 613-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1154873149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12080 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "34432",
            "telephone_number": "954-613-2300",
            "fax_number": "954-613-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "34432",
            "telephone_number": "954-613-2300",
            "fax_number": "954-613-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSC DUNNELLON HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-613-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL8142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberli Roberts, BEHAVIOR ANALYST
• Lissette Rodriguez
• Jasmine Danica Roque
• Barry J Rosin, R.PH.
• Justin Rossi
• RSC Dunnellon Haven LLC
• Sage Dental of Dunnellon PLLC
• Samarkos, D.M.D., P.a.
• Adam Michael Santacross, PTA
• Deborah Sarmiento

• Assisted Living Facility in Dunnellon, FL
• Providers in Dunnellon, 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 Oct 26, 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.