Seaside Villa Assisted Living Facility LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SEASIDE VILLA ASSISTED LIVING FACILITY LLC

Practice address

610 Palm Drive
Satellite Beach, FL 32937

Phone

(321) 626-5321

Fax

(321) 777-7545

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Gail Ranea Mackey, LCSWNPI 1639271281

Title

Administrator/Owner

Phone

(321) 626-5321

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail Ranea Mackey, MSW, LCSW

  • Clinical Social Worker
  • Satellite Beach, FL
  • NPI 1639271281
  NPD (past) Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1609625284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PALM DRIVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-626-5321",
            "fax_number": "321-777-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PALM DRIVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-626-5321",
            "fax_number": "321-777-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE VILLA ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "RANEA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "321-626-5321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Roselip, LMT
• Anne Lansing Rossbach, RD, RDN
• Huma Saiyed
• Allison Sanders
• Satellite Family Dentistry
• Leah Shanteau, LISWS, LCSW
• Shekhar Desai MD LLC
• Jordan Sifferle
• Gabriele Abreu Simas, PHARMD
• Rebekah Simmons, RDMS

• Adult Care Home Facility in Satellite Beach, FL
• Providers in Satellite Beach, 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 May 15, 2024; 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.