1724 Valencia, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

8931 Issued in FL

Legal business name

1724 VALENCIA, LLC

Doing business as

The Sarah House II

Practice address

1724 Valencia Ave
Ormond Beach, FL 32174-7242

Phone

(386) 453-1519

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By 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

Shoshana Sharon

Title

Administrator

Phone

(386) 453-1519

Specialties & licenses 1

Addresses

Other names 1

• The Sarah House II Doing business as

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1437570801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 VALENCIA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747242",
            "telephone_number": "386-453-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 VALENCIA AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747242",
            "telephone_number": "386-453-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1724 VALENCIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "SHARON",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-453-1519"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sarah House II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Ormond Beach, FL
• Providers in Ormond 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 2, 2014; 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.