Elevated Estates of Brooksville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELEVATED ESTATES OF BROOKSVILLE LLC

Practice address

307 Howell Ave
Brooksville, FL 34601-2039

Phone

(352) 796-3276

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Yitzchak Kessock

Title

Owner

Phone

(347) 452-2309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1275309254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012039",
            "telephone_number": "352-796-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012039",
            "telephone_number": "352-796-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED ESTATES OF BROOKSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "KESSOCK",
        "authorized_official_first_name": "YITZCHAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-452-2309"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Brooksville, FL
• Providers in Brooksville, 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, 2023; 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.