Brandon Opco LLC, Dba the Meridian at Brandon

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRANDON OPCO LLC, DBA THE MERIDIAN AT BRANDON

Practice address

9215 Causeway Blvd
Tampa, FL 33619-6608

Phone

(813) 896-0740

Fax

(813) 609-0010

NPI assigned

Apr 15, 2022

Last updated

Apr 15, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MERIDIAN SENIOR LIVING LLCAs reported in NPPES

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

Authorized official

Name

Dan Castleberry

Title

Coo

Phone

(813) 896-0740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1720721020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 CAUSEWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196608",
            "telephone_number": "813-896-0740",
            "fax_number": "813-609-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 CAUSEWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196608",
            "telephone_number": "813-896-0740",
            "fax_number": "813-609-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON OPCO LLC, DBA THE MERIDIAN AT BRANDON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN SENIOR LIVING LLC",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-896-0740"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tory H Brand, PT
• Laura J Brander, RN
• Christine L Brandes, APRN
• Alexandra Brandimore, SLP
• Brandon Health Management Inc.
• Delena Faith Brandon
• Bryan Brandt
• Jacqueline Brandt
• Ellen A. Brankley, ARNP
• Anthony N Brannan, M.D.

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, 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 Apr 15, 2022; 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.