Organization Active NPI

Suncoast Loving Care, LLC

  • Home Health Agency
  • Bradenton, FL
National Provider Identifier
1184052904
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNCOAST LOVING CARE, LLC
Doing business as
Suncoast Healthcare of Manatee
Practice address
6703 14TH St W
Suite 208
Bradenton, FL 34207
Phone
(941) 961-0029
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Jolanta Izmirliyan
Title
Owner
Phone
(941) 961-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6703 14TH St W
Suite 208
Bradenton, FL 34207

Mailing address

1770 Ben Franklin Dr
Unit 506
Sarasota, FL 34236-2323
Phone (941) 961-0029

Other identifiers 1

IdentifierTypeStateIssuer
014138600MedicaidFL

Other names 1

  • Suncoast Healthcare of Manatee Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2077646Suncoast Loving Care LLC6703 14TH St W Ste 208, Bradenton, FL 34207Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

6703 14th St W
Ste 208
Bradenton, FL 34207
Phone (941) 254-6477

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1184052904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 BEN FRANKLIN DR",
            "address_2": "UNIT 506",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362323",
            "telephone_number": "941-961-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 14TH ST W",
            "address_2": "SUITE 208",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34207",
            "telephone_number": "941-961-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST LOVING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "IZMIRLIYAN",
        "authorized_official_first_name": "JOLANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-961-0029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014138600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Healthcare of Manatee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suncoast Healthcare of Manatee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.