NPIMap

Organization Active NPI

Seggyyen Ventures LLC

Doing business as Oak Rose Assisted Living Facility

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1457014417
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SEGGYYEN VENTURES LLC
Doing business as
Oak Rose Assisted Living Facility
Practice address
616 Valle Vista Dr
Brandon, FL 33511-7830
Phone
(813) 662-4107
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Olusegun Ayeni
Title
Ceo/President
Phone
(813) 909-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

616 Valle Vista Dr
Brandon, FL 33511-7830

Mailing address

1810 Oak Pond St
Ruskin, FL 33570-7995
Phone (813) 909-5904

Other identifiers 1

IdentifierTypeStateIssuer
111745300MedicaidFL

Other names 1

  • Oak Rose Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seggyyen Ventures LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1457014417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 OAK POND ST",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707995",
            "telephone_number": "813-909-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 VALLE VISTA DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117830",
            "telephone_number": "813-662-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGGYYEN VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "813-909-5904"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111745300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Rose Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Rose Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.