Sharicks Deck Retirement Ranch

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5335 Issued in FL

Legal business name

SHARICKS DECK RETIREMENT RANCH

Doing business as

Sharicks Deck Retirement Ranch

Practice address

4506 Bruton Rd
Plant City, FL 33565-7029

Phone

(813) 754-5223

Fax

(813) 752-9265

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Nicolas Antonio Ciccarello

Title

Owner

Phone

(813) 754-5223

Specialties & licenses 1

Addresses

Other names 1

• Sharicks Deck Retirement Ranch Doing business as

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1184853640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 BRUTON RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335657029",
            "telephone_number": "813-754-5223",
            "fax_number": "813-752-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 BRUTON RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335657029",
            "telephone_number": "813-754-5223",
            "fax_number": "813-752-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARICKS DECK RETIREMENT RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "CICCARELLO",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-754-5223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharicks Deck Retirement Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Bell Seguin
• Mamta Talwar Sehgal, DMD
• Pablo Antonio Serrano Lopez, M.D.
• Darshan Bhupen Shah, MD
• Yvonne E Shakes
• Hope Sheldon
• Brooke Molyneux Shepard, MD
• Maryem Ali Shiha, BA, SLPA
• Dana Shivers
• Ruchi Shukla

• Assisted Living Facility in Plant City, FL
• Providers in Plant City, 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 Jun 17, 2015; 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.