Garden Oasis Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12249 Issued in FL

Legal business name

GARDEN OASIS ALF, LLC

Practice address

515 Hickory Lake Dr
Brandon, FL 33511-6337

Phone

(813) 699-4142

Fax

(813) 413-7740

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Gladys Kanodereka, RN

Title

Owner

Phone

(813) 530-0909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1679944466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HICKORY LAKE DR STE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116337",
            "telephone_number": "813-330-8424",
            "fax_number": "813-315-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HICKORY LAKE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116337",
            "telephone_number": "813-699-4142",
            "fax_number": "813-413-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OASIS ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "KANODEREKA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-530-0909",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Grunden Garcia, APRN
• Ivelisse Garcia, APRN
• Jamie Michael Garcia
• Marcela Garcia
• William Zachary Garcia, PHARM.D.
• Angel Gardner
• Aditya Garg
• Alexia Garrett
• Marquisha Marlena Garrick
• Lisbet Garrido Samon

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.