Florida Living Options Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF16310961 Issued in FL

Legal business name

FLORIDA LIVING OPTIONS INC.

Doing business as

2nd Florida Living Options LLC Hawthorne Health and Rehab of Brandon

Practice address

851 W Lumsden Rd
Brandon, FL 33511-6280

Phone

(813) 661-8998

Fax

(813) 661-3725

NPI assigned

Jun 13, 2005

Last updated

Aug 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald J Wilson

Title

Cfo

Phone

(309) 343-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 2nd Florida Living Options LLC Hawthorne Health and Rehab of Brandon Doing business as

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1801890272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116280",
            "telephone_number": "813-661-8998",
            "fax_number": "813-661-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116280",
            "telephone_number": "813-661-8998",
            "fax_number": "813-661-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA LIVING OPTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-343-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF16310961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026167000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2nd Florida Living Options LLC Hawthorne Health and Rehab of Brandon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.