Parkside Assisted Living and Memory Cottage

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL13075 Issued in FL

Legal business name

PARKSIDE ASSISTED LIVING AND MEMORY COTTAGE

Practice address

2595 Harbor Blvd
Port Charlotte, FL 33952-6724

Phone

(941) 766-7444

Fax

(941) 979-5884

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sakina Khalidi, MDNPI 1588611370

Title

Owner

Phone

(941) 629-2111

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sakina Khalidi, M.D.

  • Gynecology Physician
  • Port Charlotte, FL
  • NPI 1588611370
  NPD (past) Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1871006734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496420",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339496420",
            "telephone_number": "941-629-2111",
            "fax_number": "941-627-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526724",
            "telephone_number": "941-766-7444",
            "fax_number": "941-979-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE ASSISTED LIVING AND MEMORY COTTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "KHALIDI",
        "authorized_official_first_name": "SAKINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-629-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Parker, ARNP
• Lynz Judith Parker, APRN
• Rosylin Agatha Parkes
• Stephanie Lynn Parkinson, COTA/L
• Kevin John Parkosewich, PHARMACIST
• Kimberly Exler Parsons
• Partners Imaging Center of Charlotte LLC
• Karen Partridge
• Partwheel, Inc.
• Pascal Bordy MD PA

• Assisted Living Facility in Port Charlotte, FL
• Providers in Port Charlotte, 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 Nov 14, 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.

Verify at the official NPI Registry.