Health Park Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9325 Issued in FL

Legal business name

HEALTH PARK ALF, LLC

Practice address

1121 Jacaranda Blvd
Venice, FL 34292-4586

Phone

(941) 497-1117

Fax

(941) 492-3455

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

William Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• SUNSET LAKE VILLAGE Doing business as

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1477759900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924586",
            "telephone_number": "941-497-1117",
            "fax_number": "941-492-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924586",
            "telephone_number": "941-497-1117",
            "fax_number": "941-492-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARK ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSET LAKE VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chasie L. Haupt, PA
• Deena H Hawasli, DDS
• Sarah Hayes
• Heather Lynn Hays, D.D.S.
• Healing Connections Therapy LLC
• Healthcare Volunteers of Venice
• Healthpark Surgery Center
• Healthy Body Acupuncture LLC
• Hear Again LLC
• Hearing Clinc of Venice Inc.

• Assisted Living Facility in Venice, FL
• Providers in Venice, 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 Dec 3, 2008; 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.