WP Crossings Sr-FL Holder, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WP CROSSINGS SR-FL HOLDER, LLC

Practice address

8451 US 301 S
Riverview, FL 33578-5450

Phone

(813) 671-0222

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Kevin Ryan Rockefeller

Title

Cfo of MGMT Co

Phone

(727) 581-4648

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1649800335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PALMETTO PARK RD STE 700",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324829",
            "telephone_number": "561-961-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 US 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785450",
            "telephone_number": "813-671-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP CROSSINGS SR-FL HOLDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "ROCKEFELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CFO OF MGMT CO",
        "authorized_official_telephone_number": "727-581-4648"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaima Peyton Woodiwiss, MD
• Erica Nicole Wooten, MSW
• Latoya Worlds-Kerr
• Holli Worthington
• Wound and Medical Outreach Clinic LLC
• Andre D Wray
• Sha'Ren Wray, RN
• Elizabeth Wright
• Latrisha Ashley Wright, M.D.
• Sherri Lynn Wyatt, PHD

• Assisted Living Facility in Riverview, FL
• Providers in Riverview, 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 Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.