FL Hud Baybreeze, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FL HUD BAYBREEZE, LLC

Practice address

3387 Gulf Breeze Parkway
Gulf Breeze, FL 32563-3351

Phone

(850) 932-9257

NPI assigned

Jun 11, 2008

Organization subpart

Yes

Parent organization

HUD FACILITIES, LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Baybreeze Senior Living and Rehabilitation Center Doing business as

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1811157019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PALAFOX PL",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 GULF BREEZE PARKWAY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633351",
            "telephone_number": "850-932-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL HUD BAYBREEZE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUD FACILITIES, LLC",
        "enumeration_date": "2008-06-11",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baybreeze Senior Living and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy A Ezelle, ARNP
• Mary Margaret Fabian
• Paraschiva Farness
• Surgey Figueroa, LMHC
• Firstlight Home Care
• Martine Flake, BCABA
• Angel Elaine Fleenor, MA
• Hollie Shelton Fletcher, PHARM.D.
• Carrie Lyn Fleury, LPC
• Angie Flores, RPH

• Skilled Nursing Facility in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.