RSC Ormond Beach Seaside LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8860 Issued in FL

Legal business name

RSC ORMOND BEACH SEASIDE LLC

Practice address

1050 Ocean Short Blvd
Ormond Beach, FL 32176

Phone

(954) 613-2300

Fax

(954) 613-2301

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By 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

Mr. Geremy Jordan

Title

Manager

Phone

(954) 613-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1326590316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OCEAN SHORT BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32176",
            "telephone_number": "954-613-2300",
            "fax_number": "954-613-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OCEAN SHORT BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32176",
            "telephone_number": "954-613-2300",
            "fax_number": "954-613-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSC ORMOND BEACH SEASIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-613-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Stephen Rubin, M.D.
• Bette Brock Rutan, LMHC
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• Taylor Morgan Ryan
• Evette Adel Saad, PHARMACIST

• Assisted Living Facility in Ormond Beach, FL
• Providers in Ormond Beach, 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 Oct 26, 2016; 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.