Bersonn LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5777 Issued in FL

Legal business name

BERSONN LLC

Doing business as

rastelle manor

Practice address

934 S Ridgewood Ave
Daytona Beach, FL 32114-5328

Phone

(386) 252-2627

Fax

(386) 252-4236

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By 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

Mr. Winston Cubero Bernabe

Title

Administrator/Owner

Phone

(386) 252-2627

Specialties & licenses 1

Addresses

Other names 1

• rastelle manor Doing business as

Tax ID family

Bersonn LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rastelle Manor

  dba New Era Assisted Living

  • Assisted Living Facility
  • Daytona Beach, FL
  • NPI 1972563526
  NPD tax ID

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1427595867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145328",
            "telephone_number": "386-252-2627",
            "fax_number": "386-252-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145328",
            "telephone_number": "386-252-2627",
            "fax_number": "386-252-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERSONN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "BERNABE",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "CUBERO",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "386-252-2627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rastelle manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Berger Psychiatric Services
• Brooke Nicole Bergmann, PHARM.D.
• Jonathan Berlin
• Jacqueline Maher Bernard, M.D.
• Joseph Paul Bernhard Jr., DO
• Alicia Dionne Betancourt, LCSW
• Marissa E Betancourt
• Bethune-Cookman University (Bethune-Cookman Sports Medicine)
• Kyle Bettis
• David Bhola, D.O.

• Assisted Living Facility in Daytona Beach, FL
• Providers in Daytona Beach, 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 Jan 24, 2017; 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.