Donegan Square Health Care Associates LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5527 Issued in FL

Legal business name

DONEGAN SQUARE HEALTH CARE ASSOCIATES LLC

Practice address

1092 W Donegan Ave
Kissimmee, FL 34741-2218

Phone

(407) 846-8520

Fax

(407) 944-4808

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Keystone Villas Assisted Living Center Doing business as

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1548207459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 W DONEGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412218",
            "telephone_number": "407-846-8520",
            "fax_number": "407-944-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 W DONEGAN AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412218",
            "telephone_number": "407-846-8520",
            "fax_number": "407-944-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONEGAN SQUARE HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141700200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683884700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Villas Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Villas Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaniris A Dominguez
• Alexandra Dominicci-Castillo, MD
• Xiomara Donate, BA,MA
• Diorella Filma Bascos Donato, BSN, RN
• Madeline Donato
• Donglen Investments LLC
• Robin Donis
• Kristin Elizabeth Donley
• Kathleen Grace Donohue, LMHC
• Taylor Donovan

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, 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 Apr 29, 2020; 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.