Spanish Gardens Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF15100962 Issued in FL

Legal business name

SPANISH GARDENS HEALTH CARE ASSOCIATES LLC

Doing business as

Lakeside Oaks Care Center

Practice address

1061 Virginia St
Dunedin, FL 34698-7326

Phone

(727) 733-4189

Fax

(727) 734-7651

NPI assigned

May 25, 2006

Last updated

Aug 2, 2012By 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

Joel J. Gaitan

Title

Manager

Phone

(727) 733-4189

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeside Oaks Care Center Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1881640829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987326",
            "telephone_number": "727-733-4189",
            "fax_number": "727-734-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987326",
            "telephone_number": "727-733-4189",
            "fax_number": "727-734-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH GARDENS HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "GAITAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-733-4189"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15100962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025248400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Oaks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen P Soe, D.O.
• Sonadora of Dunedin
• Sonus-USA, Inc.
• Beverly Sorrells, AP
• Kate Spangler
• Angela Renee Speller, MA
• William Peter Spencer III, D.M.D.
• Garth Spreeman
• Lauren Grace Squires
• Logan Riley Srna, DC

• Skilled Nursing Facility in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.