Organization Active NPI

Four Seasons Alf Inc

  • Assisted Living Facility
  • Sanford, FL
National Provider Identifier
1265633762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 10150 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Alf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.