Organization Active NPI

Senior Lifestyles, LLC

Doing business as Kipling Manor Retirement Center

  • Assisted Living Facility
  • Pensacola, FL
National Provider Identifier
1366614208
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7285 Issued in FL
Legal business name
SENIOR LIFESTYLES, LLC
Doing business as
Kipling Manor Retirement Center
Practice address
7901 Kipling St
Pensacola, FL 32514-6265
Phone
(850) 478-9051
Fax
(850) 478-2864
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Mrs. Mary Elaine Williams
Title
Managing Member
Phone
(850) 934-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7285 FL Primary

Addresses

Primary practice location

7901 Kipling St
Pensacola, FL 32514-6265

Mailing address

101 McAbee CT
Gulf Breeze, FL 32561-4756
Phone (850) 934-1061

Other names 1

  • Kipling Manor Retirement Center 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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1366614208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MCABEE CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614756",
            "telephone_number": "850-934-1061",
            "fax_number": "850-934-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 KIPLING ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146265",
            "telephone_number": "850-478-9051",
            "fax_number": "850-478-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIFESTYLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "850-934-1061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kipling Manor Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.