Taterik Properties LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL6773 Issued in FL

Legal business name

TATERIK PROPERTIES LLC

Doing business as

Baytree Lakeside

Practice address

6411 46TH Ave N
Kenneth City, FL 33709-3105

Phone

(727) 545-0623

Fax

(727) 544-2416

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Albert L Wyand

Title

President

Phone

(727) 545-0623

Specialties & licenses 1

Addresses

Other names 1

• Baytree Lakeside Doing business as

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609996255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 46TH AVE N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093105",
            "telephone_number": "727-545-0623",
            "fax_number": "727-544-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 46TH AVE N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093105",
            "telephone_number": "727-545-0623",
            "fax_number": "727-544-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATERIK PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYAND",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-545-0623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baytree Lakeside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Kenneth City, FL
• Providers in Kenneth City, 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 Aug 22, 2020; 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.