Brandon BG Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRANDON BG OPCO LLC

Doing business as

Hunter Place

Practice address

700 S Kings Ave
Brandon, FL 33511-5925

Phone

(813) 662-0255

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

Peter Tarsney

Title

Authorized Signatory

Phone

(312) 725-7000

Specialties & licenses 1

Addresses

Other names 1

• Hunter Place Doing business as

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1497202576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "SUITE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113586",
            "telephone_number": "312-725-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115925",
            "telephone_number": "813-662-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON BG OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "TARSNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "312-725-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunter Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.