Organization Active NPI

Seggyyen Ventures LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1386393122
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SEGGYYEN VENTURES LLC
Practice address
515 Hickory Lake Dr
Brandon, FL 33511-6337
Phone
(813) 315-8233
NPI assigned
Mar 21, 2022
Organization subpart
Yes
Parent organization
SEGGYYEN VENTURES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Olusegun Ayeni
Title
Chief Executive Officer (Ceo)
Phone
(813) 909-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

515 Hickory Lake Dr
Brandon, FL 33511-6337

Mailing address

1810 Oak Pond St
Ruskin, FL 33570-7995
Phone (813) 909-5904

Other identifiers 1

IdentifierTypeStateIssuer
112161900MedicaidFL

Other names 1

  • Garden Oasis Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seggyyen Ventures LLC3 organizations share this tax ID, including this one
Part of
Seggyyen Ventures LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1386393122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 OAK POND ST",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707995",
            "telephone_number": "813-909-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HICKORY LAKE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116337",
            "telephone_number": "813-315-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGGYYEN VENTURES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEGGYYEN VENTURES LLC",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "813-909-5904"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112161900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Oasis Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.