Pacifica Sun City LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7290 Issued in FL

Legal business name

PACIFICA SUN CITY LP

Practice address

3855 Upper Creek Dr
Ruskin, FL 33573-6814

Phone

(813) 633-3333

Fax

(813) 634-6101

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Tim Barnes

Title

Manager

Phone

(727) 726-3980

Specialties & licenses 2

Addresses

Other names 1

• Sun City Senior Living Doing business as

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1639412919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 58TH ST N",
            "address_2": "SUITE 312",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603759",
            "telephone_number": "727-726-3980",
            "fax_number": "727-726-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 UPPER CREEK DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736814",
            "telephone_number": "813-633-3333",
            "fax_number": "813-634-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SUN CITY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-726-3980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7290",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL7290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun City Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Our Hearts Care Management
• Our Hearts Home Care & Staffing LLC
• Our Hearts Home Care & Staffing LLC
• Segun Mathew Owoeye
• Temitayo Bola Owoeye
• Patricia Jean Paine, R.PH.
• Palm Garden of Sun City Center LLC
• Jitendra Pansuria, PHARMACIST
• Brian David Paparodis, OPTICIAN
• Kirk David Parrott, DDS

• Assisted Living Facility in Ruskin, FL
• Providers in Ruskin, 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 Apr 4, 2013; 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.