Organization Active NPI

Cath E-Z Living Facility, LLC.

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1801154604
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12127 Issued in FL
Legal business name
CATH E-Z LIVING FACILITY, LLC.
Practice address
907 Pine Ridge Cir E
Brandon, FL 33511-6277
Phone
(813) 685-5656
Fax
(813) 685-5656
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Cathalene Sams Kinsler, MSM
Title
Administrator
Phone
(813) 685-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12127 FL Primary

Addresses

Primary practice location

907 Pine Ridge Cir E
Brandon, FL 33511-6277

Mailing address

601 Overland Dr
Brandon, FL 33511-5940
Phone (813) 653-3945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1801154604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OVERLAND DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115940",
            "telephone_number": "813-653-3945",
            "fax_number": "813-689-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 PINE RIDGE CIR E",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116277",
            "telephone_number": "813-685-5656",
            "fax_number": "813-685-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATH E-Z LIVING FACILITY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "KINSLER",
        "authorized_official_first_name": "CATHALENE",
        "authorized_official_middle_name": "SAMS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-685-5656",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.