Organization Active NPI

Pure Restoration Assisted Living, LLC

  • Assisted Living Facility
  • Inverness, FL
National Provider Identifier
1386166940
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PURE RESTORATION ASSISTED LIVING, LLC
Practice address
1321 Lakeview Dr
Inverness, FL 34450
Phone
(352) 726-9405
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Authorized official

Name
Francia David
Title
Administrator
Phone
(352) 726-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1321 Lakeview Dr
Inverness, FL 34450

Mailing address

1321 Lakeview Dr
Inverness, FL 34450-6047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1386166940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 LAKEVIEW DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344506047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 LAKEVIEW DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34450",
            "telephone_number": "352-726-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE RESTORATION ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "FRANCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-726-9405"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.