Sandy Ridge Investors Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SANDY RIDGE INVESTORS INC

Doing business as

Sandy Ridge Health and Rehabilitation

Practice address

5360 Glover LN
Milton, FL 32570-4189

Phone

(850) 626-9225

Fax

(850) 626-5983

NPI assigned

Aug 3, 2005

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph D. Mitchell

Title

President

Phone

(850) 386-2831

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandy Ridge Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1568463222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CENTRE POINTE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084930",
            "telephone_number": "850-386-2831",
            "fax_number": "850-386-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 GLOVER LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704189",
            "telephone_number": "850-626-9225",
            "fax_number": "850-626-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY RIDGE INVESTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-386-2831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022062100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Ridge Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Defara Andreya Samiden
• Dayan E Sanchez, MD
• Kelsey Sanchez, DC
• Klaryssa Sanchez, BCBA
• Kathryn J Sands, PHARMD
• Sandy Ridge SNF Operations LLC
• Santa Rosa Anesthesia Associates, PA
• Santa Rosa Board of Public Instruction
• Santa Rosa Counseling Center LLC
• Santa Rosa County Board of Public Instruction

• Skilled Nursing Facility in Milton, FL
• Providers in Milton, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.