Eldercare Services of Tallahassee

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9149 Issued in FL

Legal business name

ELDERCARE SERVICES OF TALLAHASSEE

Doing business as

St. Augustine Plantation Assisted Living

Practice address

2507 Old Saint Augustine Rd
Tallahassee, FL 32301-6209

Phone

(850) 309-1982

Fax

(850) 597-8305

NPI assigned

Dec 3, 2010

Organization subpart

Yes

Parent organization

BROOKINS ELDERSERVEAs reported in NPPES

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

Authorized official

Name

Michael Scott Brookins, OWNER

Title

President

Phone

(850) 309-1982

Specialties & licenses 1

Addresses

Other names 1

• St. Augustine Plantation Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1902108418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 OLD SAINT AUGUSTINE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323016209",
            "telephone_number": "850-309-1982",
            "fax_number": "850-597-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 OLD SAINT AUGUSTINE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323016209",
            "telephone_number": "850-309-1982",
            "fax_number": "850-597-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE SERVICES OF TALLAHASSEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKINS ELDERSERVE",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "BROOKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-309-1982",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Augustine Plantation Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Tallahassee, FL
• Providers in Tallahassee, 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 Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.