Northstar Senior Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NORTHSTAR SENIOR LIVING, INC.

Doing business as

Woodmont Senior Living

Practice address

3207 N Monroe St
Tallahassee, FL 32303-2832

Phone

(850) 562-4123

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By 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

Trevor Ogden

Title

Director of Risk Management

Phone

(530) 242-8300

Specialties & licenses 2

Addresses

Other names 1

• Woodmont Senior Living Doing business as

Tax ID family

Northstar Senior Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northstar Senior Living, Inc.

  dba Pacifica Senior Living Merced

  • Assisted Living Facility
  • Merced, CA
  • NPI 1821819806
  NPD tax ID

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1619756483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032832",
            "telephone_number": "850-562-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032832",
            "telephone_number": "850-562-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "530-242-8300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodmont Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Florida Women's Care, P.a. (North Florida Women's Care)
• North Meridian Medical Services Corporation
• North Star Behavioral Solutions, LLC
• Elizabeth M North, LCSW
• Northland Hearing Center, Inc. (Audibel Hearing Center)
• Malasha Norton
• Mary P Norton, MD
• Charly Nottke
• Alfredo Nova, M.D.
• Allyson Louise Novak

• Assisted Living Facility in Tallahassee, FL
• Providers in Tallahassee, 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 Sep 21, 2023; 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.