Sixma Seniors

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9611 Issued in FL

Legal business name

SIXMA SENIORS

Practice address

2766 Sixma Rd
Deltona, FL 32738-9575

Phone

(386) 789-5991

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Diane V Hof

Title

Owner

Phone

(386) 789-5991

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1174850259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 SIXMA RD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389575",
            "telephone_number": "386-789-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 SIXMA RD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389575",
            "telephone_number": "386-789-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXMA SENIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "HOF",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-789-5991"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678003200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kymberly Brooke Simmons, CLC, ALC
• Dani Simon, COTA/L
• Esmeralda Simonelli
• Reianna Singh
• Savita Singh
• Katelynne Slight
• Diamond Jhane Smalls, PTA
• Smart Behavioral Innovation Corp
• Smiles of Tomorrow, Inc.
• Jameelia Smith

• Assisted Living Facility in Deltona, FL
• Providers in Deltona, 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 Nov 10, 2009; 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.