Organization Active NPI

Southern Comfort Family Services

  • Assisted Living Facility
  • Ruskin, FL
National Provider Identifier
1619416609
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12937 Issued in FL
Legal business name
SOUTHERN COMFORT FAMILY SERVICES
Practice address
2409 W Ravine Dr
Ruskin, FL 33570-5635
Phone
(813) 784-7737
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Mrs. Gladys 'Ladonna' Bennett
Title
Administrator
Phone
(813) 812-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12937 FL Primary

Addresses

Primary practice location

2409 W Ravine Dr
Ruskin, FL 33570-5635

Mailing address

235 Apollo Beach Blvd
228
Apollo Beach, FL 33572-2251
Phone (813) 784-7737

National Provider Directory

National Provider Directory

Locations

2409 W Ravine Dr
Ruskin, FL 33570
Phone (813) 645-6361

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1619416609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 APOLLO BEACH BLVD",
            "address_2": "228",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722251",
            "telephone_number": "813-784-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 W RAVINE DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705635",
            "telephone_number": "813-784-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "'LADONNA'",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-812-7799",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.