Seasons Gardens Senior Residence LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SEASONS GARDENS SENIOR RESIDENCE LLC

Doing business as

Seasons Gardens Senior Residence

Practice address

17250 SW 137TH Ave
Miami, FL 33177-6405

Phone

(305) 284-7675

Fax

(786) 476-0134

NPI assigned

Mar 31, 2020

Last updated

Mar 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jed Walter

Title

VP

Phone

(305) 284-7675

Specialties & licenses 1

Addresses

Other names 1

• Seasons Gardens Senior Residence Doing business as

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1285262584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776405",
            "telephone_number": "305-284-7675",
            "fax_number": "786-476-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776405",
            "telephone_number": "305-284-7675",
            "fax_number": "786-476-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS GARDENS SENIOR RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-284-7675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seasons Gardens Senior Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, 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 Mar 31, 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.