Senior Living Properties IV, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

AL9235 Issued in FL

Legal business name

SENIOR LIVING PROPERTIES IV, LLC

Practice address

355 Alafaya Woods Blvd
Oviedo, FL 32765-7095

Phone

(407) 977-8786

Fax

(407) 977-1033

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Uri Rubin

Title

Chief Financial Officer

Phone

(954) 691-1030

Specialties & licenses 5

Addresses

Other names 1

• Savannah Court of Oviedo I Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Savannah Cottage of Oviedo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Senior Living Properties IV, LLC

  • Point of Service
  • Oviedo, FL
  • NPI 1407198500
  NPD tax ID
• Senior Living Properties IV, LLC

  • Point of Service
  • Oviedo, FL
  • NPI 1659613750
  NPD tax ID

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1407198997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JOHNSON RD",
            "address_2": "SUITE 1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734361",
            "telephone_number": "954-691-1030",
            "fax_number": "954-691-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ALAFAYA WOODS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657095",
            "telephone_number": "407-977-8786",
            "fax_number": "407-977-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "954-691-1030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "AL9235",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9235",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8636",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9353",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Court of Oviedo I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.