RMD Senior Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10800 Issued in FL

Legal business name

RMD SENIOR CARE LLC

Doing business as

Carriage House ALF

Practice address

1832 Country Club Dr
Titusville, FL 32780-5346

Phone

(321) 383-3531

Fax

(321) 383-3532

NPI assigned

Mar 28, 2013

Last updated

Mar 28, 2013By 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

Mr. Rex Davadilla

Title

Owner/Administrator

Phone

(321) 696-2191

Specialties & licenses 1

Addresses

Other names 1

• Carriage House ALF Doing business as

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1366785297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 COUNTRY CLUB DRIVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-696-2191",
            "fax_number": "321-383-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 COUNTRY CLUB DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805346",
            "telephone_number": "321-383-3531",
            "fax_number": "321-383-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMD SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "DAVADILLA",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-696-2191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage House ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Richard
• Michael Richards
• Megan Marie Riggie, PTA
• Sherry Lynn Riley, ARNP
• Ricardo Rivera-Morales, M.D.
• Rose Aline Roach, LCSW
• Kathleen Marie Roath-Algera, LMT
• Lisa Suzanne Roberson, OTR/L
• Amanda Arieux Roberts-Garcia, PMHNP
• Demonde Roberts

• Assisted Living Facility in Titusville, FL
• Providers in Titusville, 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 Mar 28, 2013; 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.