SNM Companion Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SNM COMPANION LIVING LLC

Practice address

2037 Canton Park Dr
Winter Haven, FL 33881-2751

Phone

(863) 275-4077

NPI assigned

Jun 14, 2024

Last updated

Sep 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calesia Dalton

Title

Administrator

Phone

(863) 275-4077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1871336222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 TAFT DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373695",
            "telephone_number": "863-275-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 CANTON PARK DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812751",
            "telephone_number": "863-275-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNM COMPANION LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "CALESIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-275-4077"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany Peebles Smith, APRN-C
• Teshauna Anaya Smith
• Trenisha Ashley Smith, OD
• Betty A Smothers, CBHP
• Jacqueline Smothers, CNA
• Derek Mathew Snyder, MD
• Sara Elizabeth Snyder, FNP-C
• Lauren Soles, PHARM.D.
• Sarah Marie Solis Diaz
• Edwin Munoz Soriano, PT

• Assisted Living Facility in Winter Haven, FL
• Providers in Winter Haven, 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 Sep 2, 2024; 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.