BSH Preserve Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12158 Issued in FL

Legal business name

BSH PRESERVE OPCO LLC

Doing business as

The Preserve at Clearwater

Practice address

2010 Greenbriar Blvd.
Clearwater, FL 33763

Phone

(727) 735-6200

Fax

(727) 733-4258

NPI assigned

Sep 14, 2017

Last updated

Dec 1, 2021By 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

Rhonda G. Coates

Title

Executive Director

Phone

(727) 735-6221

Specialties & licenses 1

Addresses

Other names 2

• The Preserve at Clearwater Doing business as
• Clearwater Senior Housing Former legal business name

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1639698210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 GREENBRIAR BLVD.",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-735-6200",
            "fax_number": "727-733-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GREENBRIAR BLVD.",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-735-6200",
            "fax_number": "727-733-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSH PRESERVE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-735-6221"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Preserve at Clearwater",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Preserve at Clearwater",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clearwater Senior Housing",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Feleesa Bryant, BSW
• Hobart M Bryant, CRNA
• Jazmine Etienne Bryant
• Julianne Bryant
• BSH Preserve Opco LLC
• Ralph Buck, SA-C
• Theresa A. Buck, M.D.
• Breea Buckley, PA-C
• Maria P. Buda O'Toole, LMHC, NCC
• Jacqueline Ann Buddingh, LMT

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, 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 Dec 1, 2021; 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.