Active NPI
South Seas Alf Care LLC Dba South Seas Alf
- Assisted Living Facility
- Gulf Breeze, FL
National Provider Identifier
1275297749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Leesville, LA
- NPI 1033166962
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.