Organization Active NPI

Anderson-Heidel Properties,LLC

  • Assisted Living Facility
  • Sarasota, FL
National Provider Identifier
1679629133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7804771 Issued in NC
Legal business name
ANDERSON-HEIDEL PROPERTIES,LLC
Doing business as
RAEFORD MANOR
Practice address
5824 Bee Ridge Rd # 287
Sarasota, FL 34233-5065
Phone
(947) 809-6531
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynn Andersen
Title
Owner
Phone
(941) 809-6531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7804771 NC Primary

Addresses

Primary practice location

5824 Bee Ridge Rd # 287
Sarasota, FL 34233-5065

Mailing address

5824 Bee Ridge Rd # 287
Sarasota, FL 34233-5065
Phone (947) 809-6531

Other identifiers 1

IdentifierTypeStateIssuer
7804771MedicaidNC

Other names 1

  • RAEFORD MANOR Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679629133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 BEE RIDGE RD # 287",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335065",
            "telephone_number": "947-809-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 BEE RIDGE RD # 287",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335065",
            "telephone_number": "947-809-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON-HEIDEL PROPERTIES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-809-6531"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "7804771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804771",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAEFORD MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.