The Four Seasons Alf Community Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12133 Issued in FL

Legal business name

THE FOUR SEASONS ALF COMMUNITY INC

Practice address

1127 Melville Rd
Punta Gorda, FL 33983-6320

Phone

(941) 391-6858

NPI assigned

May 24, 2013

Last updated

May 24, 2013By 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

Al Davis

Title

President

Phone

(941) 626-9078

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1417394917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 MELVILLE RD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836320",
            "telephone_number": "941-391-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 MELVILLE RD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836320",
            "telephone_number": "941-391-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUR SEASONS ALF COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-626-9078"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Yarina Tavarez, CNA
• Cora Sue Taylor, PSY.S., LMHC
• Donna Victoria Taylor, L.M.H.C.
• Jerika Taylor, PHARMD
• Khaled Temraz, PT
• The Nest Physical Therapy and Wellness
• Theodore Yaremo MD PA
• Therapeutic Wellness Center
• Therapy One CR
• Thomas Noone MD PA

• Assisted Living Facility in Punta Gorda, FL
• Providers in Punta Gorda, 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 24, 2013; 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.