Organization Active NPI

Senior Living Properties IV, LLC

  • Point of Service
  • Oviedo, FL
National Provider Identifier
1659613750
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
AL9308 Issued in FL
Legal business name
SENIOR LIVING PROPERTIES IV, LLC
Practice address
395 Alafaya Woods Blvd
Oviedo, FL 32765-7095
Phone
(407) 977-8786
Fax
(407) 977-1033
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mr. Uri Rubin
Title
Chief Financial Officer
Phone
(954) 691-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X AL9308 FL Primary

Addresses

Primary practice location

395 Alafaya Woods Blvd
Oviedo, FL 32765-7095

Mailing address

4611 Johnson Rd
Suite 1
Coconut Creek, FL 33073-4361
Phone (954) 691-1030

Other names 1

  • Savannah Court of Oviedo II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Savannah Cottage of Oviedo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1659613750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JOHNSON RD",
            "address_2": "SUITE 1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734361",
            "telephone_number": "954-691-1030",
            "fax_number": "954-691-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 ALAFAYA WOODS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657095",
            "telephone_number": "407-977-8786",
            "fax_number": "407-977-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING PROPERTIES IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "URI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "954-691-1030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "AL9308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Court of Oviedo II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.