Courtyard Enterprises of Port Charlotte, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7326 Issued in FL

Legal business name

COURTYARD ENTERPRISES OF PORT CHARLOTTE, LLC

Doing business as

the courtyard assisted living

Practice address

26455 Rampart Blvd
Punta Gorda, FL 33983-6211

Phone

(941) 624-2225

Fax

(941) 625-6125

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alex Pansacola Siquijor, MD

Title

Administrator

Phone

(941) 979-8119

Specialties & licenses 1

Addresses

Other names 1

• the courtyard assisted living Doing business as

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1467699876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26455 RAMPART BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836211",
            "telephone_number": "941-624-2225",
            "fax_number": "941-625-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 RAMPART BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836211",
            "telephone_number": "941-624-2225",
            "fax_number": "941-625-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD ENTERPRISES OF PORT CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "SIQUIJOR",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "PANSACOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-979-8119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the courtyard assisted living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary F Connolly, MCAP
• Consistently Compassionate Care at Home LLC
• Jennifer Anne Cooke, D.O.
• Cora Health Services, Inc. (CORA Physical Therapy - Punta Gorda)
• Cora S. Taylor, Psy.S., LMHC, PA Dba Crossway Counseling Learning Center (Crossway Counseling & Learning Center)
• Sherrie Cowan
• James Bradrord Cox Jr., ACM
• Alan Crandall, M.A.
• CTS Addiction & Counseling Services LLC
• Anubis Cubenas

• Assisted Living Facility in Punta Gorda, FL
• Providers in Punta Gorda, 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 7, 2009; 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.