Organization Active NPI

Bagsiyao Corporation

  • Assisted Living Facility
  • Apopka, FL
National Provider Identifier
1497090997
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9202 Issued in FL
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

Updated by the provider on Dec 10, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
142569200MedicaidFL
689265500MedicaidFL

Other names 1

  • greenbriar retirement Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bagsiyao Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.