NPIMap

Organization Active NPI

Southern Comfort Bed & Breakfast,Inc

  • Assisted Living Facility
  • Ruskin, FL
National Provider Identifier
1699196857
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11967693 Issued in FL
Legal business name
SOUTHERN COMFORT BED & BREAKFAST,INC
Practice address
2409 W Ravine Dr
Ruskin, FL 33570-5635
Phone
(813) 645-6361
Fax
(813) 645-6377
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Joseph T. Green
Title
Owner
Phone
(813) 376-5942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11967693 FL Primary

Addresses

Primary practice location

2409 W Ravine Dr
Ruskin, FL 33570-5635

Mailing address

2409 W Ravine Dr
Ruskin, FL 33570-5635
Phone (813) 645-6361

Other names 1

  • Southern Comfort Inn ACR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Comfort Bed Breakfastinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1699196857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 W RAVINE DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705635",
            "telephone_number": "813-645-6361",
            "fax_number": "813-645-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 W RAVINE DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705635",
            "telephone_number": "813-645-6361",
            "fax_number": "813-645-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT BED & BREAKFAST,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-376-5942"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11967693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Comfort Inn ACR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.