RSC Dunnellon Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7687 Issued in FL

Legal business name

RSC DUNNELLON HAVEN LLC

Practice address

12980 SW Highway 484
Dunnellon, FL 34432-6428

Phone

(352) 465-0300

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Geremy Jordan

Title

MGR

Phone

(954) 613-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1235681222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12980 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326428",
            "telephone_number": "352-465-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326428",
            "telephone_number": "352-465-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSC DUNNELLON HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GEREMY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-613-2300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissette Rodriguez
• Jasmine Danica Roque
• Barry J Rosin, R.PH.
• Justin Rossi
• RSC Dunnellon Harbor LLC
• Sage Dental of Dunnellon PLLC
• Samarkos, D.M.D., P.a.
• Adam Michael Santacross, PTA
• Deborah Sarmiento
• Diana L Saunders, M.A., LPC

• Assisted Living Facility in Dunnellon, FL
• Providers in Dunnellon, 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 Oct 26, 2016; 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.