Active NPI
Bagsiyao Corporation
- Assisted Living Facility
- Apopka, FL
National Provider Identifier
1497090997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9202
- Legal business name
- BAGSIYAO CORPORATION
- Practice address
- 3615 McNeil Rd
Apopka, FL 32703-6818 - Phone
- (407) 883-0643
- Fax
- (407) 292-6180
- NPI assigned
- Dec 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Corazon Bagsiyao, R.N.
- Title
- Administrato
- Phone
- (407) 883-0643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL9202 | FL | Primary |
Addresses
Primary practice location
3615 McNeil Rd
Apopka, FL 32703-6818
Mailing address
3615 McNeil Rd
Apopka, FL 32703-6818
Phone (407) 883-0643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142569200 | Medicaid | FL | |
| 689265500 | Medicaid | FL |
Other names 1
- greenbriar retirement
National Provider Directory
National Provider Directory- Tax ID family
- Bagsiyao Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Apopka, FL
- NPI 1023294899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355097600000",
"number": "1497090997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 MCNEIL RD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327036818",
"telephone_number": "407-883-0643",
"fax_number": "407-292-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 MCNEIL RD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327036818",
"telephone_number": "407-883-0643",
"fax_number": "407-292-6180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAGSIYAO CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-10",
"last_updated": "2012-12-10",
"status": "A",
"authorized_official_last_name": "BAGSIYAO",
"authorized_official_first_name": "CORAZON",
"authorized_official_title_or_position": "ADMINISTRATO",
"authorized_official_telephone_number": "407-883-0643",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL9202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142569200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "689265500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "greenbriar retirement",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.