Santa Barbara Social Club LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SANTA BARBARA SOCIAL CLUB LLC

Practice address

2135 Santa Barbara Blvd Ste 106-108
Cape Coral, FL 33991-4359

Phone

(239) 984-2916

Fax

(239) 842-6787

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Boris L. Avila

Title

President

Phone

(786) 479-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1821758285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 SW 174TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575716",
            "telephone_number": "786-479-2000",
            "fax_number": "239-842-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SANTA BARBARA BLVD STE 106-108",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339914359",
            "telephone_number": "239-984-2916",
            "fax_number": "239-842-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA SOCIAL CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-479-2000"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grecia Sinai Sandrea Pena
• Elisabeth Mae Saner
• Pamela Gay Sanford, PHD, MSN, PMHNP-BC
• Yisel Sanjuan Rodriguez
• Santa Barbara Blvd Opco LLC
• Yeniffer Santacoloma, PHARMD
• Dialenis Santana Hernandez
• Jennifer Yuritza Santana Sosa
• Susana De la Caridad Santana
• Christine A Santaniello

• Adult Day Care Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.