Organization Active NPI

CB Medical LLC

Doing business as Suncoast Healthcare of Sarasota

  • Home Health Agency
  • Sarasota, FL
National Provider Identifier
1912345109
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CB MEDICAL LLC
Doing business as
Suncoast Healthcare of Sarasota
Practice address
619 Cattlemen Rd
Unit 54
Sarasota, FL 34232
Phone
(941) 254-6477
Fax
(941) 254-6509
NPI assigned
Jun 10, 2013
Last updated
Jun 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Ms. Jolanta Izmirliyan
Title
Owner
Phone
(941) 254-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

619 Cattlemen Rd
Unit 54
Sarasota, FL 34232

Mailing address

619 Cattlemen Rd
Unit 54
Sarasota, FL 34232-6318
Phone (941) 254-6477

Other identifiers 1

IdentifierTypeStateIssuer
014138300MedicaidFL

Other names 1

  • Suncoast Healthcare of Sarasota Doing business as

National Provider Directory

National Provider Directory

Locations

619 Cattlemen Rd
#154
Sarasota, FL 34232
Phone (941) 254-6477

619 Cattlemen Rd
Unit 54
Sarasota, FL 34232
Phone (941) 254-6477

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1912345109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 CATTLEMEN RD",
            "address_2": "UNIT 54",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326318",
            "telephone_number": "941-254-6477",
            "fax_number": "941-254-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 CATTLEMEN RD",
            "address_2": "UNIT 54",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34232",
            "telephone_number": "941-254-6477",
            "fax_number": "941-254-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "IZMIRLIYAN",
        "authorized_official_first_name": "JOLANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-254-6477",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014138300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Healthcare of Sarasota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.