Organization Active NPI

Jest Operating Inc

Doing business as Somerset Assisted Living Facility

  • Assisted Living Facility
  • Tavares, FL
National Provider Identifier
1679164941
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JEST OPERATING INC
Doing business as
Somerset Assisted Living Facility
Practice address
2450 Dora Ave
Tavares, FL 32778-4974
Phone
(352) 343-4464
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Elizabeth HeimanNPI 1669891784
Title
President
Phone
(786) 683-6153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2450 Dora Ave
Tavares, FL 32778-4974

Mailing address

2450 Dora Ave
Tavares, FL 32778-4974
Phone (352) 343-4464

Other identifiers 1

IdentifierTypeStateIssuer
012372200MedicaidFL

Other names 1

  • Somerset Assisted Living Facility Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address somersetalf.taylor@directproject.net

National Provider Directory

National Provider Directory

Locations

2450 Dora Ave
Tavares, FL 32778
Phone (352) 343-4464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1679164941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784974",
            "telephone_number": "352-343-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784974",
            "telephone_number": "352-343-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEST OPERATING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "HEIMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-683-6153"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012372200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "somersetalf.taylor@directproject.net",
            "affiliation": "N",
            "address_1": "2450 Dora Ave",
            "city": "Tavares",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327784974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Somerset Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.