Senior Living IX Windermere, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR LIVING IX WINDERMERE, LLC

Practice address

1061 Tomyn Blvd
Ocoee, FL 34761-4939

Phone

(407) 961-7400

Fax

(844) 808-0071

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Billie Abreu

Title

RM & Compliance Manager

Phone

(813) 330-2660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Inspired Living Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1558036301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ANCHOR PLAZA PKWY STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347529",
            "telephone_number": "813-330-2660",
            "fax_number": "844-808-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 TOMYN BLVD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614939",
            "telephone_number": "407-961-7400",
            "fax_number": "844-808-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING IX WINDERMERE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "RM & COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "813-330-2660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "AL12906",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "regulatory@validusseniorliving.com",
            "affiliation": "N",
            "endpointDescription": "RM Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1061 Tomyn Blvd",
            "city": "Ocoee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347614939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Inspired Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Ocoee, FL
• Providers in Ocoee, 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 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.