Organization Active NPI

Zion Assisted Living Facility LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1285495523
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ZION ASSISTED LIVING FACILITY LLC
Practice address
504 Apache TRL
Brandon, FL 33511-8048
Phone
(813) 435-9466
Fax
(813) 435-9422
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Jacky Jean Pierre
Title
Administrator
Phone
(813) 403-1839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

504 Apache TRL
Brandon, FL 33511-8048

Mailing address

504 Apache TRL
Brandon, FL 33511-8048
Phone (813) 435-9466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1285495523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 APACHE TRL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118048",
            "telephone_number": "813-435-9466",
            "fax_number": "813-435-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 APACHE TRL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118048",
            "telephone_number": "813-435-9466",
            "fax_number": "813-435-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "JEAN PIERRE",
        "authorized_official_first_name": "JACKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-403-1839"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.