Florida Senior Living, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FLORIDA SENIOR LIVING, LLC

Practice address

1570 Lakeview Dr
Sebring, FL 33870-7958

Phone

(863) 385-6353

Fax

(863) 385-0807

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christin Johnson

Title

Chairman

Phone

(865) 584-6755

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palms Home Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Highland County Home Care LLC

  • Home Health Agency
  • Sebring, FL
  • NPI 1033974852

  Sold to, 2024-06-18

  CMS change of ownership

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1912927260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 STUART RD NE # 305",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124803",
            "telephone_number": "423-584-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707958",
            "telephone_number": "863-385-6353",
            "fax_number": "863-385-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "865-584-6755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HH19965007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palms Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Sebring, FL
• Providers in Sebring, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.