Sorensen, Smith, & Bay LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12528 Issued in FL

Legal business name

SORENSEN, SMITH, & BAY LLC

Practice address

430 SE Mill St
Mayo, FL 32066-4804

Phone

(386) 294-2273

Fax

(386) 294-2289

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Bay

Title

Managing Member

Phone

(386) 294-2273

Specialties & licenses 1

Addresses

Other names 1

• Homewood Lodge Alf Doing business as

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1487055232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SE MILL ST",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320664804",
            "telephone_number": "386-294-2273",
            "fax_number": "386-294-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SE MILL ST",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320664804",
            "telephone_number": "386-294-2273",
            "fax_number": "386-294-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORENSEN, SMITH, & BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "BAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-294-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewood Lodge Alf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Patricia Gail Taylor, LMT
• Claire Walker

• All providers in Mayo, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.