Sorensen & Smith LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12714 Issued in FL

Legal business name

SORENSEN & SMITH LLC

Doing business as

riverwood lodge assisted living facility

Practice address

6873 SW US Hwy 27
Fort White, FL 32038

Phone

(386) 497-2273

NPI assigned

Nov 16, 2015

Last updated

Nov 16, 2015By 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

Ms. Kimberly Moore

Title

Manager

Phone

(386) 497-2273

Specialties & licenses 1

Addresses

Other names 1

• riverwood lodge assisted living facility Doing business as

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1407220338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6873 SW US HWY 27",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "32038",
            "telephone_number": "386-497-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6873 SW US HWY 27",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "32038",
            "telephone_number": "386-497-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORENSEN & SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-497-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "riverwood lodge assisted living facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherrell Queen
• Caitlyn Richter, ATC
• Riverwood Alf Operating LLC (Our Home at Riverwood Lodge)
• Michele-Ann Colena Shaw, MS,CCC-SLP
• Maryann Smith, ARNP
• Mary Ann Vecchio, LMT
• Stephanie Daugherty Watson, MSCC, LMHC

• Assisted Living Facility in Fort White, FL
• Providers in Fort White, 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 Nov 16, 2015; 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.