Starboard Senior Managment

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STARBOARD SENIOR MANAGMENT

Practice address

125 N Spring Lake Dr
Altamonte Springs, FL 32714-3407

Phone

(321) 663-2719

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Kaylee Beard

Title

Administrator

Phone

(321) 663-2719

Specialties & licenses 1

Addresses

Other names 1

• Bridgeport Senior Living Doing business as

Locations

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1477027902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SPRING VALLEY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N SPRING LAKE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143407",
            "telephone_number": "321-663-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Spring Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327145845",
            "country_code": "US",
            "telephone_number": "321-663-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STARBOARD SENIOR MANAGMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-663-2719"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie A St. Clair
• Lorcan Stack
• Breanna Stallings
• Star Consultants, Inc.
• Star Orthopedics and Spine of Orlando LLC.
• Devon Staropoli, LMHC, M.S.
• Tara Josephine Stauffer, PTA
• Thomas O Steedle, M.D.
• Jennifer Steen, ARNP
• Charles Stephens III, B.S.

• Assisted Living Facility in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 17, 2019; 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.