NPIMap

Organization Active NPI

Aa Senior Living and Total Care LLC

  • General Practice Physician
  • Williston, FL
National Provider Identifier
1609310218
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AA SENIOR LIVING AND TOTAL CARE LLC
Practice address
37 S Main St
Suite a
Williston, FL 32696-2681
Phone
(352) 505-7440
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Mr. Akhtar Akhtaruzzaman
Title
President
Phone
(973) 951-8158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

37 S Main St
Suite a
Williston, FL 32696-2681

Mailing address

37 S Main St
Suite a
Williston, FL 32696-2681
Phone (352) 505-7440

National Provider Directory

National Provider Directory

Locations

37 S Main St
Ste A
Williston, FL 32696
Phone (352) 505-7440

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1609310218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 S MAIN ST",
            "address_2": "SUITE A",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962681",
            "telephone_number": "352-505-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S MAIN ST",
            "address_2": "SUITE A",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962681",
            "telephone_number": "352-505-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA SENIOR LIVING AND TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "AKHTARUZZAMAN",
        "authorized_official_first_name": "AKHTAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-951-8158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.