Assisted Senior LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ASSISTED SENIOR LLC

Practice address

934 S Ridgewood Ave
Daytona Beach, FL 32114-5328

Phone

(386) 252-2627

Fax

(386) 252-4236

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Fer Tolentino Villan, RN

Title

Owner

Phone

(386) 252-2627

Specialties & licenses 1

Addresses

Other names 1

• Assisted Senior LLC Other name

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1710542014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145328",
            "telephone_number": "386-252-2627",
            "fax_number": "386-252-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145328",
            "telephone_number": "386-252-2627",
            "fax_number": "386-252-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED SENIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "VILLAN",
        "authorized_official_first_name": "JAMIE FER",
        "authorized_official_middle_name": "TOLENTINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-252-2627",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Senior LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Daytona Beach, FL
• Providers in Daytona Beach, 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 May 2, 2019; 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.