Organization Active NPI

S & R Assisted Living Facility LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1669148326
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
S & R ASSISTED LIVING FACILITY LLC
Practice address
907 Woodland Ter
Brandon, FL 33511-5551
Phone
(813) 548-7289
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Maj Robinsin
Title
Adminstrtor
Phone
(727) 687-3914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

907 Woodland Ter
Brandon, FL 33511-5551

Mailing address

907 Woodland Ter
Brandon, FL 33511-5551
Phone (813) 548-7289

Other identifiers 1

IdentifierTypeStateIssuer
101755900MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL BRANDON
CONNECT URL sandrassistedlivingfacility@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1669148326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WOODLAND TER",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115551",
            "telephone_number": "813-548-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 WOODLAND TER",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115551",
            "telephone_number": "813-548-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & R ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSIN",
        "authorized_official_first_name": "MAJ",
        "authorized_official_title_or_position": "ADMINSTRTOR",
        "authorized_official_telephone_number": "727-687-3914"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101755900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BRANDON",
            "affiliation": "N",
            "address_1": "907 Woodland Ter",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sandrassistedlivingfacility@gmail.com",
            "affiliation": "N",
            "address_1": "907 Woodland Ter",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.