Invicta Park Place LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

8284 Issued in FL

Legal business name

INVICTA PARK PLACE LLC

Practice address

541 Park St
Dunedin, FL 34698-7016

Phone

(727) 418-2567

NPI assigned

Apr 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stephen Lomonico

Title

President/Ceo

Phone

(727) 418-2567

Specialties & licenses 1

Addresses

Other names 1

• Park Place Assisted Living Doing business as

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1437545274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 PARK ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987016",
            "telephone_number": "727-418-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 PARK ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987016",
            "telephone_number": "727-418-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTA PARK PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "LOMONICO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "727-418-2567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daven Icao, COTA
• Alan Y Ickowitz, PSY.D.
• Rachel Ikensaa, DPT
• Infectious Disease Physicians
• Inspired Senior Living of Dunedin Mt, LLC
• Invision Eyecare Inc.
• Katherine Isaza, PSY.D.
• Jack E Beebe MD PA
• Jack N Rothman MD
• Sanjie Jackson, D.M.D.

• Assisted Living Facility in Dunedin, FL
• Providers in Dunedin, 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 Apr 8, 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.