Hampton Belleview Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAMPTON BELLEVIEW ALF, LLC

Practice address

10590 SE 62ND Avenue Rd
Belleview, FL 34420-3004

Phone

(352) 245-6201

Fax

(352) 433-0728

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Peder Johnsen

Title

Ceo

Phone

(352) 387-1830

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1528796885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 902",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715445",
            "telephone_number": "352-387-1830",
            "fax_number": "352-433-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 SE 62ND AVENUE RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203004",
            "telephone_number": "352-245-6201",
            "fax_number": "352-433-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON BELLEVIEW ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "PEDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-387-1830"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114712500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Nicole Halsey
• Nebana Anika Hamanot
• Lester Alvin Hammond III, P.T.
• Hampton Alf at Belleview, LLC
• Hampton Alf at Belleview, LLC
• Ann Stephenson Hancock, RPH, PHARMD
• Hands of Mercy Everywhere, Inc.
• Fallyn Elizabeth Harris
• Andrea Harrison
• Emily Byrd Hawkins

• Assisted Living Facility in Belleview, FL
• Providers in Belleview, 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 Aug 12, 2022; 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.