Organization Active NPI

Tangerine Cove of Brooksville BSLC LLC

Doing business as Tangerine Cove of Brooksville

  • Assisted Living Facility
  • Brooksville, FL
National Provider Identifier
1356765952
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TANGERINE COVE OF BROOKSVILLE BSLC LLC
Doing business as
Tangerine Cove of Brooksville
Practice address
307 Howell Ave
Brooksville, FL 34601-2039
Phone
(352) 796-3276
Fax
(352) 754-8584
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Liza Rojas
Title
Manager
Phone
(941) 809-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

307 Howell Ave
Brooksville, FL 34601-2039

Mailing address

307 Howell Ave
Brooksville, FL 34601-2039
Phone (352) 796-3276

Other names 1

  • TANGERINE COVE OF BROOKSVILLE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1356765952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012039",
            "telephone_number": "352-796-3276",
            "fax_number": "352-754-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012039",
            "telephone_number": "352-796-3276",
            "fax_number": "352-754-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGERINE COVE OF BROOKSVILLE BSLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-809-6147"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANGERINE COVE OF BROOKSVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.