Ac Panmar, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10150 Issued in FL

Legal business name

AC PANMAR, INC

Practice address

5080 Wayside Dr
Sanford, FL 32771-8613

Phone

(407) 322-7118

Fax

(407) 322-7023

NPI assigned

Sep 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alfredo R Marasigan

Title

VP of Operations

Phone

(407) 322-7118

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Four Seasons ALF Doing business as

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1346499720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 WAYSIDE DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718613",
            "telephone_number": "407-322-7118",
            "fax_number": "407-322-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 WAYSIDE DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718613",
            "telephone_number": "407-322-7118",
            "fax_number": "407-322-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC PANMAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MARASIGAN",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "407-322-7118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693118900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Sanford, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.