Active NPI
Southern Comfort Family Services
- Assisted Living Facility
- Ruskin, FL
National Provider Identifier
1619416609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12937
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.