Southen Oaks Senior Living Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12814 Issued in FL

Legal business name

SOUTHEN OAKS SENIOR LIVING CARE LLC

Doing business as

The Rose Garden of Fort.Myers

Practice address

2117 Earl Rd
Fort Myers, FL 33901-8015

Phone

(954) 708-5674

NPI assigned

Nov 30, 2016

Last updated

Nov 30, 2016By 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

Gregory D Morris

Title

Managing Parnter

Phone

(407) 859-7990

Specialties & licenses 1

Addresses

Other names 1

• The Rose Garden of Fort.Myers Doing business as

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1255874806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378300",
            "telephone_number": "954-708-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 EARL RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018015",
            "telephone_number": "954-708-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEN OAKS SENIOR LIVING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARNTER",
        "authorized_official_telephone_number": "407-859-7990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rose Garden of Fort.Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Myers, FL
• Providers in Fort Myers, 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 Nov 30, 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.