Green Senior Care of Largo LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN SENIOR CARE OF LARGO LLC

Doing business as

Sweet Water At Largo

Practice address

11290 Walsingham Rd
Largo, FL 33778-3101

Phone

(727) 466-4581

Fax

(855) 638-4902

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Dana Dewitt Scott

Title

President/Administrator

Phone

(727) 466-4581

Specialties & licenses 1

Addresses

Other names 1

• Sweet Water At Largo Doing business as

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1598234668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11290 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783101",
            "telephone_number": "727-466-4581",
            "fax_number": "855-638-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11290 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783101",
            "telephone_number": "727-466-4581",
            "fax_number": "855-638-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SENIOR CARE OF LARGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "DEWITT",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "727-466-4581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Water At Largo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Largo, FL
• Providers in Largo, 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 Nov 19, 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.

Verify at the official NPI Registry.