Venice Gardens LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VENICE GARDENS LLC

Practice address

12006 McIntosh Rd
Thonotosassa, FL 33592-3838

Phone

(813) 986-7900

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Sol Greenstein

Title

Managing Director

Phone

(718) 256-1906

Specialties & licenses 1

Addresses

Other names 1

• STONE LEDGE MANOR Doing business as

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1497305643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105110",
            "telephone_number": "917-538-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 MCINTOSH RD",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335923838",
            "telephone_number": "813-986-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE GARDENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "718-256-1906"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONE LEDGE MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delaney Ann Stanton
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• Thonotosassa, FL Opco, LLC
• Robert Ponder Vereen
• Jorge J Villalba, M.D.
• Paulette C Walker-Slater
• West Florida Health Home Infusion LLC
• Roger Whitfield

• Assisted Living Facility in Thonotosassa, FL
• Providers in Thonotosassa, 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 Sep 18, 2019; 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.