Active NPI
Black Ring Capital Investments LLC
- Assisted Living Facility
- Apopka, FL
National Provider Identifier
1831620368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 12479
- Legal business name
- BLACK RING CAPITAL INVESTMENTS LLC
- Practice address
- 700 E Welch Rd
Apopka, FL 32712-2921 - Phone
- (407) 880-8020
- NPI assigned
- Mar 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan I. Kornegay, R.N., J.D., M.B.A.
- Title
- Administrative Director
- Phone
- (407) 951-0268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 12479 | FL | Primary |
Addresses
Primary practice location
700 E Welch Rd
Apopka, FL 32712-2921
Mailing address
3895 Biscayne Dr
Winter Springs, FL 32708-4628
Phone (407) 951-0268
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490486400000",
"number": "1831620368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3895 BISCAYNE DR",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327084628",
"telephone_number": "407-951-0268",
"fax_number": "407-264-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E WELCH RD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122921",
"telephone_number": "407-880-8020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK RING CAPITAL INVESTMENTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-26",
"last_updated": "2017-03-26",
"status": "A",
"authorized_official_last_name": "KORNEGAY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "407-951-0268",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N., J.D., M.B.A."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "12479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.