Toro12 LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

AL245 Issued in FL

Legal business name

TORO12 LLC

Doing business as

homestead retirement home

Practice address

1117 Massachusetts Ave
Saint Cloud, FL 34769-3787

Phone

(407) 593-6521

NPI assigned

Jun 11, 2014

Last updated

Jun 11, 2014By 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

Jacek Dygdon

Title

Owner

Phone

(386) 315-0899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• homestead retirement home Doing business as

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1295148872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MASSACHUSETTS AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693787",
            "telephone_number": "407-593-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MASSACHUSETTS AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693787",
            "telephone_number": "407-593-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORO12 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "DYGDON",
        "authorized_official_first_name": "JACEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-315-0899"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "AL245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010471600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "homestead retirement home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Nelson Todd Jr., LMHC
• Denise Toledo
• Summer Toler
• Robert Tomaino Jr., PTA
• John D Tonkovich, PH.D., CCC-SLP/A
• Litza Torrado
• Barbara Torres Mejia
• Roselyn Torres Riera, ARNP
• Lianet Torres Toro
• Kairaliz Torres Vargas

• Mental Illness Community Based Residential Treatment Facility in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.