Windermere Assisted Living Facility Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WINDERMERE ASSISTED LIVING FACILITY CORP

Doing business as

Windermere Assisted Living since 04/01/2016

Practice address

7050 Bramlea LN
Windermere, FL 34786-6623

Phone

(407) 656-0202

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tesfamariam G Bahta, PHARMD

Title

Manager

Phone

(407) 656-0202

Specialties & licenses 1

Addresses

Other names 1

• Windermere Assisted Living since 04/01/2016 Doing business as

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1184113771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 BRAMLEA LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866623",
            "telephone_number": "407-656-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 BRAMLEA LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866623",
            "telephone_number": "407-656-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE ASSISTED LIVING FACILITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "BAHTA",
        "authorized_official_first_name": "TESFAMARIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-656-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windermere Assisted Living since 04/01/2016",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert W White, P.A. - C
• Brian Wiboon, DO
• Ja'Nesia Williams, RMHCI
• Magued Michael Wilson
• Christian Lance Wimmer, PHD
• Windermere Baby and Family
• Windermere Chiropractic, PLLC
• Windermere Medical Center
• Janelle Allison Wong, MS,CCC-SLP
• Leslie Tamara Yadi, LCSW

• Assisted Living Facility in Windermere, FL
• Providers in Windermere, 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 May 9, 2018; 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.