Desoto Palms LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11835 Issued in FL

Legal business name

DESOTO PALMS LLC

Practice address

5601 N Honore Ave
Sarasota, FL 34243-6223

Phone

(941) 355-0303

Fax

(941) 556-7445

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Patricia Lynn Holloway, NHA

Title

Administrator

Phone

(941) 355-0303

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1306289228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N HONORE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342436223",
            "telephone_number": "941-355-0303",
            "fax_number": "941-554-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N HONORE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342436223",
            "telephone_number": "941-355-0303",
            "fax_number": "941-556-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO PALMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-355-0303",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Dervisevic, FNP-BC
• Martin John Desantis, D.O.
• Robert Samuel Desantis, ATC
• Laurie Desiderio, OTR/L
• Danielle Marie Desmarais, APRN
• Linda Desruisseau-Revis, APRN, CNP
• Laura J Dessauer, M.S., ATR-BC, LCAT
• Destination Dermatology PA
• Lynn A Dettenmayer, DDS
• Robin Gaye Devan, M.D.

• 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 Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.