Active NPI
Four Seasons Alf Inc
- Assisted Living Facility
- Sanford, FL
National Provider Identifier
1265633762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL 10150
- Legal business name
- FOUR SEASONS ALF INC
- Practice address
- 5080 Wayside Dr
Sanford, FL 32771-8613 - Phone
- (407) 322-7118
- Fax
- (407) 322-7023
- NPI assigned
- May 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jocelyn Carlos, BSN RN
- Title
- Administrator
- Phone
- (407) 322-7118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL 10150 | FL | Primary |
Addresses
Primary practice location
5080 Wayside Dr
Sanford, FL 32771-8613
Mailing address
5080 Wayside Dr
Sanford, FL 32771-8613
Phone (407) 322-7118
National Provider Directory
National Provider Directory- Tax ID family
- Four Seasons Alf Dba Sanford Manor Alf
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Sanford, FL
- NPI 1972811339
Locations
5080 Wayside Dr
Sanford, FL 32771
Phone (407) 322-7118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265633762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 WAYSIDE DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327718613",
"telephone_number": "407-322-7118",
"fax_number": "407-322-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 WAYSIDE DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327718613",
"telephone_number": "407-322-7118",
"fax_number": "407-322-7023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR SEASONS ALF INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARLOS",
"authorized_official_first_name": "JOCELYN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-322-7118",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSN RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL 10150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.