Bear Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BEAR ASSISTED LIVING LLC

Practice address

2411 Fortune Rd
Kissimmee, FL 34744-3964

Phone

(813) 967-3808

Fax

(407) 348-0031

NPI assigned

May 29, 2019

Last updated

May 29, 2019By 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

Chirag Amin, RPHNPI 1225784507

Title

Owner

Phone

(813) 967-3808

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chirag Amin, RPH

  • Pharmacist
  • St Petersburg, FL
  • NPI 1225784507
  NPD Authorized official

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1346807021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443964",
            "telephone_number": "813-967-3808",
            "fax_number": "407-348-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443964",
            "telephone_number": "813-967-3808",
            "fax_number": "407-348-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-967-3808",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102786300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, 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 May 29, 2019; 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.