BSH Preserve Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BSH PRESERVE OPCO LLC

Practice address

2010 Greenbriar Blvd
Clearwater, FL 33763-1454

Phone

(727) 735-6200

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Whitlock

Title

Chief Investment Officer

Phone

(617) 574-8361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1205500634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BEACON ST FL 24",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021083107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GREENBRIAR BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631454",
            "telephone_number": "727-735-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSH PRESERVE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF INVESTMENT OFFICER",
        "authorized_official_telephone_number": "617-574-8361"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Bryant, APRN
• Feleesa Bryant, BSW
• Hobart M Bryant, CRNA
• Jazmine Etienne Bryant
• Julianne Bryant
• BSH Preserve Opco LLC (The Preserve at Clearwater)
• Ralph Buck, SA-C
• Theresa A. Buck, M.D.
• Breea Buckley, PA-C
• Maria P. Buda O'Toole, LMHC, NCC

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, 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 Aug 9, 2021; 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.