Seminole Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12103 Issued in FL

Legal business name

SEMINOLE SENIOR LIVING

Practice address

9000 86TH Ave
Seminole, FL 33777-2641

Phone

(727) 623-9073

Fax

(727) 623-9093

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John J Ross, PHD

Title

Director of Alf Operstiond

Phone

(727) 919-4935

Specialties & licenses 1

Addresses

Other names 1

• Safe Harbor Doing business as

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1750756102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 US HIGHWAY 19",
            "address_2": "SUITE7",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522960",
            "telephone_number": "727-623-9073",
            "fax_number": "727-623-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 86TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772641",
            "telephone_number": "727-623-9073",
            "fax_number": "727-623-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF ALF OPERSTIOND",
        "authorized_official_telephone_number": "727-919-4935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Harbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seminole Chiropractic Injury & Wellness Center Inc
• Seminole Dental Group, PLLC
• Seminole Dental, PA
• Seminole Family Dental Care PLLC
• Seminole Harp Pediatric Dentistry
• Sarah Lynn Serkowski, OTR/L
• Peri Paige Shafer, OTRL
• Randall Shanafelt
• Siddhi Rajesh Sharma
• Sean Sharp, D.C., APRN, FNP-BC

• Assisted Living Facility in Seminole, FL
• Providers in Seminole, 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 Dec 10, 2015; 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.