Suncoast Senior Care Consultants.LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

AY898 Issued in FL

Legal business name

SUNCOAST SENIOR CARE CONSULTANTS.LLC

Practice address

5304 Manatee Ave W
Bradenton, FL 34209-3743

Phone

(941) 747-7620

Fax

(941) 747-7148

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Kipp Clark, AU.D

Title

Owner

Phone

(941) 747-7620

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suncoast Hearing Services Plus Doing business as

Locations

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1598059156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093743",
            "telephone_number": "941-747-7620",
            "fax_number": "941-747-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093743",
            "telephone_number": "941-747-7620",
            "fax_number": "941-747-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST SENIOR CARE CONSULTANTS.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KIPP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-747-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "AY898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003967300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Hearing Services Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suncoast Mobile Wellness and Therapy LLC
• Suncoast Physical Therapy & Rehab. LLC
• Suncoast Physical Therapy LLC
• Suncoast Psychotherapy LLC
• Suncoast Retina Institute, P.L.
• Suncoast Spinecare
• Kavin Sundaram, MD
• Eric Borden Sundberg, MD
• Sharla Sundberg, MD
• David C Sundeen, D.D.S.

• Hearing and Speech Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.