SL Heron Club LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10107 Issued in FL

Legal business name

SL HERON CLUB LLC

Practice address

3749 Sarasota Square Blvd
Sarasota, FL 34238-4595

Phone

(941) 922-1669

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Karen Arway

Title

Executive Director

Phone

(941) 922-1669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1578804662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 SARASOTA SQUARE BLVD.",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 SARASOTA SQUARE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384595",
            "telephone_number": "941-922-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL HERON CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "ARWAY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "941-922-1669"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie G. Skoglund, MS, ED.D
• Fotios A. Skordas, M.S., D.D.S
• Smaro Skordas, D.O
• Skos Vision Center Inc (bee ridge vision center)
• Skyward Psychiatry PLLC
• SL Heron East, LLC (Heron East)
• Elisabeth Slabaugh
• Robert Slackman, MD
• Leonard Slazinski, M. D.
• Sleep Apnea Institute of Sarasota Inc

• Assisted Living Facility in Sarasota, FL
• Providers in Sarasota, 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 Mar 14, 2013; 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.