741 South Beneva Road Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL6563 Issued in FL

Legal business name

741 SOUTH BENEVA ROAD OPERATIONS LLC

Doing business as

Beneva Lakes Assisted Living Center

Practice address

743 S Beneva Rd
Sarasota, FL 34232-2411

Phone

(941) 316-0151

Fax

(941) 316-0218

NPI assigned

May 23, 2016

Last updated

May 21, 2019By 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

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beneva Lakes Assisted Living Center Doing business as

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1396192134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322411",
            "telephone_number": "941-316-0151",
            "fax_number": "941-316-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322411",
            "telephone_number": "941-316-0151",
            "fax_number": "941-316-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "741 SOUTH BENEVA ROAD OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017573700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beneva Lakes Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beneva Lakes Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sarasota, FL
• Providers in Sarasota, 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 May 21, 2019; 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.