Successful Ambitions

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11988 Issued in FL

Legal business name

SUCCESSFUL AMBITIONS

Doing business as

Ambitious Assisted Living

Practice address

3939 Country Place Unit C
Winter Haven, FL 33880

Phone

(863) 875-4766

Fax

(863) 984-1615

NPI assigned

Jun 10, 2011

Organization subpart

No

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

Authorized official

Name

Miriam Annette McGill, MBA

Title

Administrator

Phone

(863) 242-8444

Specialties & licenses 1

Addresses

Other names 1

• Ambitious Assisted Living Doing business as

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1730474420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338820545",
            "telephone_number": "863-242-8444",
            "fax_number": "863-984-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 COUNTRY PLACE UNIT C",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33880",
            "telephone_number": "863-875-4766",
            "fax_number": "863-984-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL AMBITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-242-8444",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambitious Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Menachem Stuart, MD
• Penelope Sturdevant, ARNP
• Briana Sturgis, DPT
• Lorna M Suarez, COTA/L
• Success for All of Florida, Inc.
• Darby Sullivan
• Yvonne V Sullivan, CBHT
• Jesseca Summerall
• Summerwood Home Health Services of District 6, LLC (Palm Garden Home Health)
• Manhua C Sun, M.D.

• Assisted Living Facility in Winter Haven, FL
• Providers in Winter Haven, 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 Jun 10, 2011; 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.