Senior Living Properties II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9383 Issued in FL

Legal business name

SENIOR LIVING PROPERTIES II, LLC

Practice address

12 E Grove Ave
Lake Wales, FL 33853-4760

Phone

(863) 679-8246

NPI assigned

Apr 19, 2013

Organization subpart

No

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

Authorized official

Name

Uri Rubin

Title

Cfo

Phone

(954) 691-1030

Specialties & licenses 3

Addresses

Other names 1

• Savannah Court of Lake Wales Doing business as

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1194169243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JOHNSON RD",
            "address_2": "SUITE 1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734361",
            "telephone_number": "954-691-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E GROVE AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534760",
            "telephone_number": "863-679-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-691-1030"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9383",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9382",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Court of Lake Wales",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Buck Andreu Scott, M.D.
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• Ashish K Shah, B.S. PHARMACY
• Sanjaykumar Kantilal Shah, RPH
• Chasity Shepard
• Alondra Soe Siberio Lopez

• Assisted Living Facility in Lake Wales, FL
• Providers in Lake Wales, 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 Apr 19, 2013; 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.