Tarantino Senior Living Communities, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL#9993 Issued in FL

Legal business name

TARANTINO SENIOR LIVING COMMUNITIES, LLC

Doing business as

Lake Forest Park

Practice address

2909 S 25TH St
Fort Pierce, FL 34981-5610

Phone

(772) 466-1919

Fax

(772) 466-1938

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Tracy McKinnie

Title

Executive Director

Phone

(772) 466-1919

Specialties & licenses 1

Addresses

Other names 1

• Lake Forest Park Doing business as

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1902231350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815610",
            "telephone_number": "772-466-1919",
            "fax_number": "772-466-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815610",
            "telephone_number": "772-466-1919",
            "fax_number": "772-466-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARANTINO SENIOR LIVING COMMUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "MCKINNIE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-466-1919"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL#9993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Forest Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edna Talabert, ARNP
• John Anthony Tallarido, LCSW
• Talquin Inc
• Jessica Tam, PTA
• Arielle Tango, FNP-C
• Sean Wesley Tattinger, RMHC
• Hany Tawadrous
• Taylor Creek Optical Inc
• Leighton Andrew Taylor, M.D.
• Martha Yanett Taylor, OTR

• Assisted Living Facility in Fort Pierce, FL
• Providers in Fort Pierce, 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 Jan 6, 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.