Bill's Place

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6905291 Issued in FL

Legal business name

BILL'S PLACE

Practice address

4860 Chickpea St
Middleburg, FL 32068-5957

Phone

(904) 291-1962

Fax

(904) 291-1962

NPI assigned

Jul 7, 2008

Last updated

Jul 7, 2008By 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. William D SwartoutNPI 1669789806

Title

Owner/Operator

Phone

(904) 291-1962

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William David Swartout

  • Adult Care Home Facility
  • Middleburg, FL
  • NPI 1669789806
  NPD (past) Authorized official

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1578726964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 CHICKPEA ST",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320685957",
            "telephone_number": "904-291-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 CHICKPEA ST",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320685957",
            "telephone_number": "904-291-1962",
            "fax_number": "904-291-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "SWARTOUT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-291-1962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141503400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Bassett
• Be in Peace
• Sandhya Behera, MD
• Heather Pauline Bennett, ARPN-C
• Marilyn Diane Betz, HAS
• Bills Place
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Clay County)
• Black Creek Supports and Services, Inc.
• Mary Ekaterina Black
• Lisbeth Maria Blandon

• Adult Care Home Facility in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.