Senior Living Properties VI, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1635096 Issued in FL

Legal business name

SENIOR LIVING PROPERTIES VI, LLC

Practice address

1301 W. Maitland Blvd
Maitland, FL 32751

Phone

(407) 645-3990

Fax

(407) 645-3878

NPI assigned

Oct 25, 2006

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

Managing Partner

Phone

(954) 691-1030

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Savannah Cove of Maitland Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1427133115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 JOHNSON ROAD,",
            "address_2": "SUITE 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "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": "1301 W. MAITLAND BLVD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-645-3990",
            "fax_number": "407-645-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES VI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "954-691-1030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "1635096",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1635096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031255000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Cove of Maitland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ibha Sedenu, DNP/APRN/FNP/PMHNP
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• Senior Living Properties III, LLC
• Senior Living Properties VI, LLC
• Senior Living Properties VI, LLC
• Adrian Roshan Sequeira, LMHC, CAP
• Serenity Now Counseling Center, LLC
• Breanna Seright
• Ruchi Gandhi Shah, ARNP
• Munima Rafi Shaikh, MD

• Assisted Living Facility in Maitland, FL
• Providers in Maitland, 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 Feb 19, 2009; 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.