1031CF Longwood Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

1031CF LONGWOOD OPCO LLC

Doing business as

Wayman Place Senior Living

Practice address

342 S Wayman St
Longwood, FL 32750-5305

Phone

(844) 533-1031

NPI assigned

May 20, 2024

Last updated

May 20, 2024By 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

Edward Fernandez

Title

Manager

Phone

(844) 533-1031

Specialties & licenses 1

Addresses

Other names 1

• Wayman Place Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1811736838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 MAIN ST STE 1050",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144282",
            "telephone_number": "844-533-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S WAYMAN ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505305",
            "telephone_number": "844-533-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1031CF LONGWOOD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "844-533-1031"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayman Place Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Longwood, FL
• Providers in Longwood, 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 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.