Organization Active NPI

Hills-Citrus Holdings of Brandon LLC

  • Assisted Living Facility
  • Brandon, FL
National Provider Identifier
1821486762
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 9582 Issued in FL
Legal business name
HILLS-CITRUS HOLDINGS OF BRANDON LLC
Practice address
320 S Lakewood Dr
Brandon, FL 33511-0809
Phone
(813) 655-8858
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Jason Mueller
Title
Registered Agent
Phone
(813) 655-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 9582 FL Primary

Addresses

Primary practice location

320 S Lakewood Dr
Brandon, FL 33511-0809

Mailing address

320 S Lakewood Dr
Brandon, FL 33511-0809
Phone (813) 655-8858

National Provider Directory

National Provider Directory

Locations

320 S Lakewood Dr
Brandon, FL 33511
Phone (813) 278-5057

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1821486762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S LAKEWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110809",
            "telephone_number": "813-655-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S LAKEWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335110809",
            "telephone_number": "813-655-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS-CITRUS HOLDINGS OF BRANDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "813-655-8858"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 9582",
            "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 Dec 30, 2014; 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.