S-H Thirty-Five Opco - Orange City, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

S-H THIRTY-FIVE OPCO - ORANGE CITY, LLC

Practice address

500 Grand Plaza Dr
Orange City, FL 32763-7900

Phone

(386) 775-3561

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Bryan Richardson

Title

Executive Vice President

Phone

(615) 221-2250

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Orange City Doing business as

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1811311491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRAND PLAZA DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637900",
            "telephone_number": "386-775-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H THIRTY-FIVE OPCO - ORANGE CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "615-221-2250"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Orange City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel L Rothbaum, M.D.
• Elise Roubicek, HAS
• Raecene Chantai Rousseau, DNP
• Emily Ruiz
• Amy Ryan
• Joymarie Saavedra, DDS
• Lisa Sabin, MA,CCC,SLP
• Ayako Sagayama, LAC
• Sage Dental of Orange City, PLLC
• Geeta Sahgal, M.D.

• Assisted Living Facility in Orange City, FL
• Providers in Orange City, 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 May 23, 2016; 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.