Organization Active NPI

Village Place Retirement

  • Assisted Living Facility
  • Port Charlotte, FL
National Provider Identifier
1164786562
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9249 Issued in FL
Legal business name
VILLAGE PLACE RETIREMENT
Practice address
18400 Cochran Blvd
Port Charlotte, FL 33948-3343
Phone
(941) 766-8900
NPI assigned
Jun 29, 2012
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
TJM PROPERTY MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Traci Farina
Title
Regional Controller
Phone
(941) 497-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9249 FL Primary

Addresses

Primary practice location

18400 Cochran Blvd
Port Charlotte, FL 33948-3343

Mailing address

18400 Cochran Blvd
Port Charlotte, FL 33948-3343
Phone (941) 766-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1164786562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339483343",
            "telephone_number": "941-766-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339483343",
            "telephone_number": "941-766-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PLACE RETIREMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TJM PROPERTY MANAGEMENT",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "FARINA",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "REGIONAL CONTROLLER",
        "authorized_official_telephone_number": "941-497-1117"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.