Edinborough Square Health Care Associates LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL4808 Issued in FL

Legal business name

EDINBOROUGH SQUARE HEALTH CARE ASSOCIATES LLC

Doing business as

The Villas at Lakeside Oaks
Villas at Lakeside Oaks, The

Practice address

1059 Virginia St
Dunedin, FL 34698-7326

Phone

(727) 733-6091

Fax

(727) 736-6739

NPI assigned

Jun 2, 2006

Last updated

Jun 14, 2019By 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

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• The Villas at Lakeside Oaks Doing business as
• Villas at Lakeside Oaks, The Doing business as

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1205873569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987326",
            "telephone_number": "727-733-6091",
            "fax_number": "727-736-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987326",
            "telephone_number": "727-733-6091",
            "fax_number": "727-736-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINBOROUGH SQUARE HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL4808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001564800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villas at Lakeside Oaks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villas at Lakeside Oaks, The",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Dunedin, FL
• Providers in Dunedin, 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 14, 2019; 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.