Southern Live in

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9890 Issued in FL

Legal business name

SOUTHERN LIVE IN

Practice address

619 Princeton St
Brandon, FL 33511-7129

Phone

(813) 655-0822

Fax

(813) 681-1482

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Melonie Bessette, AMINISTRATOR

Title

President

Phone

(813) 655-0822

Specialties & licenses 1

Addresses

Other names 1

• southern live in of brandon Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meloine Bessette, ADMINISTRATOR

  • Licensed Practical Nurse
  • Brandon, FL
  • NPI 1194140566
  NPD

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1831489632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3528",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721005",
            "telephone_number": "813-655-0822",
            "fax_number": "813-681-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 PRINCETON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117129",
            "telephone_number": "813-655-0822",
            "fax_number": "813-681-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVE IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "BESSETTE",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-655-0822",
        "authorized_official_credential": "AMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "southern live in of brandon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Brandon Imaging LLC
• South Brandon Imaging LLC
• South Shore Cardiovascular Associates Inc
• Southeast Anesthesia and Pain Medicine LLC
• Southeast Radiology Associates PA
• Southern Live in Inc
• Kelly Sue Southmayd, MS, CCC-SLP
• Southshore Homekare
• Graham Sowa, M.D.
• Samuel Spaiser

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, 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 Mar 22, 2023; 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.