Organization Active NPI

Sonata Vero Beach LLC

  • Assisted Living Facility (Mental Illness)
  • Vero Beach, FL
National Provider Identifier
1902386733
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
SONATA VERO BEACH LLC
Practice address
2425 20TH St
Vero Beach, FL 32960-6615
Phone
(772) 770-2401
Fax
(772) 770-0313
NPI assigned
Aug 21, 2018
Organization subpart
Yes
Parent organization
S-H THIRTY-FIVE OPCO - VERO BEACH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Brent Atwell
Title
Executive Director
Phone
(772) 770-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2425 20TH St
Vero Beach, FL 32960-6615

Mailing address

2425 20TH St
Vero Beach, FL 32960-6615
Phone (772) 770-2401

Other identifiers 1

IdentifierTypeStateIssuer
20-8672070MedicaidFL

Other names 2

  • SONATA VERO BEACH Doing business as
  • S-H THIRTY-FIVE OPCO VERO BEACH LLC Other name

National Provider Directory

National Provider Directory
Part of
CSH Vero Beach LP

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1902386733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606615",
            "telephone_number": "772-770-2401",
            "fax_number": "772-770-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606615",
            "telephone_number": "772-770-2401",
            "fax_number": "772-770-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONATA VERO BEACH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S-H THIRTY-FIVE OPCO - VERO BEACH, LLC",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "ATWELL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-770-2401"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-8672070",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONATA VERO BEACH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S-H THIRTY-FIVE OPCO VERO BEACH LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.