Piney Ridge Blvd, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINEY RIDGE BLVD, LLC

Practice address

36444 Piney Ridge Blvd
Fruitland Park, FL 34731-5382

Phone

(352) 474-2696

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Adam Anthony

Title

Manager

Phone

(407) 683-6766

Specialties & licenses 1

Addresses

Other names 1

• Generations Senior Living at The Springs Doing business as

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1447901533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 BURNSED BLVD STE 317",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632704",
            "telephone_number": "352-474-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36444 PINEY RIDGE BLVD",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315382",
            "telephone_number": "352-474-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEY RIDGE BLVD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-683-6766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Senior Living at The Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fruitland Park, FL
• Providers in Fruitland Park, 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 11, 2022; 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.