Active NPI
Enduring Life Services LLC
- Assisted Living Facility
- Seminole, FL
National Provider Identifier
1568979466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL13060
- Legal business name
- ENDURING LIFE SERVICES LLC
- Doing business as
- HarmonyOne ALF
- Practice address
- 11972 Orange Blossom Dr
Seminole, FL 33772-3443 - Phone
- (727) 385-8046
- NPI assigned
- Jan 2, 2018
- Organization subpart
- Yes
- Parent organization
- ENDURING LIFE SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susanne M Cubberley
- Title
- Owner
- Phone
- (727) 385-8046
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL13060 | FL | Primary |
Addresses
Primary practice location
11972 Orange Blossom Dr
Seminole, FL 33772-3443
Mailing address
11972 Orange Blossom Dr
Seminole, FL 33772-3443
Phone (727) 385-8046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022639100 | Medicaid | FL |
Other names 1
- HarmonyOne ALF
National Provider Directory
National Provider Directory- Part of
- Enduring Life Services LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nursing Home Administrator
- Seminole, FL
- NPI 1538679378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514851200000",
"number": "1568979466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11972 ORANGE BLOSSOM DR",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337723443",
"telephone_number": "727-385-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11972 ORANGE BLOSSOM DR",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337723443",
"telephone_number": "727-385-8046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDURING LIFE SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ENDURING LIFE SERVICES LLC",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A",
"authorized_official_last_name": "CUBBERLEY",
"authorized_official_first_name": "SUSANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-385-8046"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL13060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022639100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HarmonyOne ALF",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.