Sarg Port Orange Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SARG PORT ORANGE ALF LLC

Doing business as

Open Arms ALF

Practice address

401 Orange Ave
Port Orange, FL 32127-4444

Phone

(407) 797-4996

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Samip Jayantilal Borad, MD, MHA

Title

Ceo & Owner

Phone

(407) 797-4996

Specialties & licenses 3

Addresses

Other names 1

• Open Arms ALF Doing business as

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1841063963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 FERNLAKE PL",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793201",
            "telephone_number": "407-797-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ORANGE AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274444",
            "telephone_number": "407-797-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARG PORT ORANGE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "BORAD",
        "authorized_official_first_name": "SAMIP",
        "authorized_official_middle_name": "JAYANTILAL",
        "authorized_official_title_or_position": "CEO & OWNER",
        "authorized_official_telephone_number": "407-797-4996",
        "authorized_official_credential": "MD, MHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Arms ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyna Renee Sanchez, DC
• Violeta Sanchez
• Courtney Sanford
• Giovanni Santi
• Ana Y Santiago, PHARMD
• Rebecca Sarwi, RN,CCE,IBCLC
• Travis Coleman Satterfield, PA-C
• Crystal Sawyer
• Joanne Deausen Saxour, MD
• Alison Scarpa

• Assisted Living Facility in Port Orange, FL
• Providers in Port Orange, 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 Oct 31, 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.