Phi 413, Inc Dba Good Samaritan Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL25 Issued in FL

Legal business name

PHI 413, INC DBA GOOD SAMARITAN RETIREMENT HOME

Practice address

507 SE 1St Ave
Williston, FL 32696-2703

Phone

(352) 528-3201

Fax

(352) 528-2722

NPI assigned

Aug 8, 2013

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marilou Zananski

Title

President

Phone

(407) 235-5961

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1922430354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OXFORD MOOR BLVD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SE 1ST AVE",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962703",
            "telephone_number": "352-528-3201",
            "fax_number": "352-528-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI 413, INC DBA GOOD SAMARITAN RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "ZANANSKI",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-235-5961"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocala Regional Physical Therapy Center (Strive Rehabilitation)
• Bipin V Patel
• Devora Wheeler Patterson
• Candace Penny, FNP-BC
• Patricia Ann Perkins, PT
• Pry Inc (Good Samaritan Retirement Home)
• Quality Care Transport Solutions
• Quick Care Med, LLC
• James Lee Quinlan, DNP, ARNP
• Jacqueline Lewis Ramirez, FNP-C

• Assisted Living Facility in Williston, FL
• Providers in Williston, 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 Aug 8, 2013; 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.