Holistic Aid Alf. LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLISTIC AID ALF. LLC

Doing business as

Park View Estate of Brandon

Practice address

1502 Bryan Rd
Brandon, FL 33511-6835

Phone

(813) 502-6308

Fax

(813) 381-4636

NPI assigned

Apr 25, 2022

Last updated

May 20, 2022By 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

Jayom Upadhyaya

Title

Administrator

Phone

(813) 809-0992

Specialties & licenses 1

Addresses

Other names 1

• PARK VIEW ESTATE OF BRANDON Doing business as

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1407590508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 BRYAN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116835",
            "telephone_number": "813-502-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BRYAN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116835",
            "telephone_number": "813-502-6308",
            "fax_number": "813-381-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC AID ALF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "UPADHYAYA",
        "authorized_official_first_name": "JAYOM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-809-0992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK VIEW ESTATE OF BRANDON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Brandon, FL
• Providers in Brandon, 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 20, 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.