Sandra Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906469 Issued in FL

Legal business name

SANDRA ADULT FAMILY CARE HOME

Practice address

1004 Larwood Pine Dr
Ruskin, FL 33570-5334

Phone

(813) 476-8875

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra M Salomon

Title

Owner

Phone

(813) 476-8875

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1871926295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 LARWOOD PINE DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705334",
            "telephone_number": "813-476-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 LARWOOD PINE DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705334",
            "telephone_number": "813-476-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-476-8875",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003716200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Stevens Rybczynski, PTA
• Sa-PG -Sun City Center LLC (Palm Garden of Sun City Ctr.)
• Tanya Delanie Samuels, DR. LMHC
• Shelby Lee Sanchez
• Amandeep Dhaliwal Sandhu, D.M.D.
• Alexandra Santana
• Megan Saucedo, APRN
• Nadia Marie Sauer Choe, D.O.
• Matthew Scarpinato, DPT
• Norma Schlabach, PMHNP-BC

• Adult Care Home Facility in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.