Compass Rose of Brandon, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COMPASS ROSE OF BRANDON, LLC

Doing business as

Compass Rose of Brandon, LLC

Practice address

320 S Lakewood Dr
Brandon, FL 33511-0809

Phone

(813) 655-8858

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Gina Queiros

Title

Ceo

Phone

(239) 406-3377

Specialties & licenses 1

Addresses

Other names 1

• Compass Rose of Brandon, LLC Doing business as

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": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1356112452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CAPE CORAL PKWY E STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048590",
            "telephone_number": "239-406-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S LAKEWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110809",
            "telephone_number": "813-655-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS ROSE OF BRANDON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "QUEIROS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-406-3377"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Rose of Brandon, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.