State Road 121

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STATE ROAD 121

Doing business as

Generations Senior Living

Practice address

2518 Burnsed Blvd
Suite 317
The Villages, FL 32163-2704

Phone

(352) 474-2696

Fax

(352) 464-6046

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By 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. Adam Anthony

Title

Managing Partner

Phone

(352) 474-2696

Specialties & licenses 1

Addresses

Other names 1

• Generations Senior Living Doing business as

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1457894586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 BURNSED BLVD",
            "address_2": "SUITE 317",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632704",
            "telephone_number": "352-474-2696",
            "fax_number": "352-464-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 BURNSED BLVD",
            "address_2": "SUITE 317",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632704",
            "telephone_number": "352-474-2696",
            "fax_number": "352-464-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE ROAD 121",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "352-474-2696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Robert Spurrier, M.D.
• St . Lukes at the Villages, PA
• St Luke's at the Villages Brownwood PA
• St. Lukes Surgical at the Villages, Inc
• Jesse Stanley
• Kathleen Ann Steepy, M.D.
• Cynthia Lynne Stewart, PA-C
• Elijah Nahova Stewart, LMT, DC
• Patricia J Stopek, LMT
• Nathaneil E Strickland Sr., H.A.S.

• Assisted Living Facility in The Villages, FL
• Providers in The Villages, 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 Nov 21, 2016; 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.