HCP Port Orange FL Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9292 Issued in FL

Legal business name

HCP PORT ORANGE FL OPCO, LLC

Practice address

1675 Dunlawton Ave
Port Orange, FL 32127-4755

Phone

(386) 761-1055

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. W. Bryan Hudson

Title

Evp, General Counsel, and Secretary

Phone

(502) 779-4700

Specialties & licenses 1

Addresses

Other names 1

• Atria Port Orange Doing business as

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1649765256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MARKET ST STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021968",
            "telephone_number": "502-779-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274755",
            "telephone_number": "386-761-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCP PORT ORANGE FL OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL, AND SECRETARY",
        "authorized_official_telephone_number": "502-779-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atria Port Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Port Orange, FL
• Providers in Port Orange, 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 Jun 26, 2018; 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.