Organization Active NPI

South Seas Alf Care LLC Dba South Seas Alf

  • Assisted Living Facility
  • Gulf Breeze, FL
National Provider Identifier
1275297749
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SOUTH SEAS ALF CARE LLC DBA SOUTH SEAS ALF
Practice address
101 McAbee CT
Gulf Breeze, FL 32561-4756
Phone
(850) 934-1061
Fax
(850) 934-6932
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Mrs. Laurissa J Grinnell, RN
Title
Administrator
Phone
(817) 902-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

101 McAbee CT
Gulf Breeze, FL 32561-4756

Mailing address

101 McAbee CT
Gulf Breeze, FL 32561-4756
Phone (850) 934-1061

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1275297749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MCABEE CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614756",
            "telephone_number": "850-934-1061",
            "fax_number": "850-934-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MCABEE CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614756",
            "telephone_number": "850-934-1061",
            "fax_number": "850-934-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SEAS ALF CARE LLC DBA SOUTH SEAS ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GRINNELL",
        "authorized_official_first_name": "LAURISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-902-7977",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.