Our Home at Wares Creek BSLC LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10653 Issued in FL

Legal business name

OUR HOME AT WARES CREEK BSLC LLC

Practice address

1725 Manatee Ave W
Bradenton, FL 34205-5924

Phone

(941) 746-5226

Fax

(941) 746-2533

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Liza Rojas

Title

Manager

Phone

(941) 746-5226

Specialties & licenses 1

Addresses

Other names 1

• OUR HOME AT WARES CREEK Doing business as

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1215319264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055924",
            "telephone_number": "941-746-5226",
            "fax_number": "941-746-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055924",
            "telephone_number": "941-746-5226",
            "fax_number": "941-746-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME AT WARES CREEK BSLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-746-5226"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR HOME AT WARES CREEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Elizabeth Otis, ED.D, PH.D., L.M.H.C
• Jean Ott, M.S., BCBA
• Laura B Ottaviani, DO
• Robert Stephen Otte, M.D.
• Chelsea Marie Ouko
• Christine Ouseley, ARNP
• Owen M McCarthy Mdpa
• Cristy Owen, MSW
• Mikayla Nicole Owen
• Samantha Owen, APRN

• Assisted Living Facility in Bradenton, FL
• Providers in Bradenton, 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 26, 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.