Syerra'S Angels Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12707 Issued in FL

Legal business name

SYERRA'S ANGELS INC

Practice address

10 Almond PL
8 Almond PL
Ocala, FL 34472-9411

Phone

(352) 509-2294

Fax

(352) 509-2086

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. June Natasha Phifer

Title

Administrator

Phone

(352) 509-2294

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Syerra's Angels Assisted Living Facility Doing business as

Tax ID family

Syerra'S Angels Assisted Living Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Syerra'S Angels Inc

  • Assisted Living Facility
  • Ocala, FL
  • NPI 1063871689
  NPD tax ID

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1366857484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALMOND PL",
            "address_2": "8 ALMOND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344729411",
            "telephone_number": "352-509-2294",
            "fax_number": "352-509-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALMOND PL",
            "address_2": "8 ALMOND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344729411",
            "telephone_number": "352-509-2294",
            "fax_number": "352-509-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYERRA'S ANGELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "PHIFER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "NATASHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-509-2294",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12707",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syerra's Angels Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Syerra'S Angels Inc
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• Simon T Symeonides, MD

• Assisted Living Facility in Ocala, FL
• Providers in Ocala, 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 Oct 1, 2015; 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.