Active NPI
Anderson-Heidel Properties,LLC
- Assisted Living Facility
- Sarasota, FL
National Provider Identifier
1679629133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 7804771
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804771 | Medicaid | NC |
Other names 1
- RAEFORD MANOR
National Provider Directory
National Provider DirectoryNPI 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.