Beneva Lakes Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1049096 Issued in FL

Legal business name

BENEVA LAKES HEALTH CARE ASSOCIATES LLC

Practice address

741 S Beneva Rd
Sarasota, FL 34232-2411

Phone

(941) 957-0310

Fax

(941) 365-7324

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Brad J. Lee

Title

Manager

Phone

(941) 957-0310

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beneva Lakes Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1306891098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322411",
            "telephone_number": "941-957-0310",
            "fax_number": "941-365-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322411",
            "telephone_number": "941-957-0310",
            "fax_number": "941-365-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVA LAKES HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-957-0310"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1049096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025989600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beneva Lakes Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Belyaks, PT
• Lynette Charrise Benaboura
• Maria Angelica Bencomo Moscoso, MD
• Julie Ann Bender-Sibbio, RDN, LDN, CWC
• James M. Benedick, LCSW, ED.D.
• Tearikirangi Elijah Benioni, M.D.
• Marcela Benitez
• Brittney Michelle Benjamin, M.D.
• Jeremy Evan Benjaminson, D.O.
• Hajar Benjoud

• Skilled Nursing Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.