Active NPI
Seggyyen Ventures LLC
- Assisted Living Facility
- Brandon, FL
National Provider Identifier
1386393122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112161900 | Medicaid | FL |
Other names 1
- Garden Oasis Assisted Living Facility
National Provider Directory
National Provider Directory- Tax ID family
- Seggyyen Ventures LLC
- 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.
-
- Assisted Living Facility
- Riverview, FL
- NPI 1427946060
-
- Assisted Living Facility
- Brandon, FL
- NPI 1457014417
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.