Organization Active NPI

Cottages of Bradenton Home Alf

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1215501036
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COTTAGES OF BRADENTON HOME ALF
Practice address
5700 24TH St E
Bradenton, FL 34203-4940
Phone
(845) 642-9496
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Terrence Dancykier
Title
Owner
Phone
(845) 642-9496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5700 24TH St E
Bradenton, FL 34203-4940

Mailing address

1 Rosalind PL # 2de
Lawrence, NY 11559-1541
Phone (845) 642-2496

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bradenton

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1215501036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSALIND PL # 2DE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591541",
            "telephone_number": "845-642-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 24TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034940",
            "telephone_number": "845-642-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGES OF BRADENTON HOME ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "DANCYKIER",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-642-9496"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bradenton",
            "affiliation": "N",
            "endpointDescription": "ASSISTED LIVING FACILITY",
            "address_1": "5700 24th St E",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342034940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.