IHS Al SRQ, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IHS AL SRQ, LLC

Doing business as

McIntosh Manor

Practice address

4612 McIntosh Rd
Sarasota, FL 34233-1931

Phone

(941) 923-3309

Fax

(941) 923-4023

NPI assigned

Jan 10, 2020

Last updated

Jan 10, 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

Lizaida Rojas

Title

Administrator

Phone

(941) 362-4753

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McIntosh Manor Doing business as

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1285274910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WASHINGTON BLVD STE 430",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365933",
            "telephone_number": "941-362-4753",
            "fax_number": "941-362-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 MCINTOSH RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331931",
            "telephone_number": "941-923-3309",
            "fax_number": "941-923-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS AL SRQ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LIZAIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-362-4753"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "AL11383",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McIntosh Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sarasota, FL
• Providers in Sarasota, 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 Jan 10, 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.