Organization Active NPI

Sand Point Senior Living

  • Assisted Living Facility
  • Titusville, FL
National Provider Identifier
1841594173
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAND POINT SENIOR LIVING
Practice address
1800 Harrison St
Titusville, FL 32780-4695
Phone
(321) 383-6000
Fax
(321) 267-6308
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Ms. Monica L Peragine
Title
Director of Sales & Marketing
Phone
(321) 383-6000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Physical Therapy Clinic/Center 261QP2000X AL5758 FL
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1800 Harrison St
Titusville, FL 32780-4695

Mailing address

1800 Harrison St
Titusville, FL 32780-4695
Phone (321) 383-6000

Other names 1

  • Brookdale Senior Living Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1841594173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HARRISON ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804695",
            "telephone_number": "321-383-6000",
            "fax_number": "321-267-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HARRISON ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804695",
            "telephone_number": "321-383-6000",
            "fax_number": "321-267-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND POINT SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "PERAGINE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF SALES & MARKETING",
        "authorized_official_telephone_number": "321-383-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "AL5758",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Senior Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.