Active NPI
Suncoast Loving Care, LLC
- Home Health Agency
- Bradenton, FL
National Provider Identifier
1184052904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014138600 | Medicaid | FL |
Other names 1
- Suncoast Healthcare of Manatee
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2077646 | Suncoast Loving Care LLC | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.