River Retreats Inc. Dba Harbor Breeze Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7798 Issued in FL

Legal business name

RIVER RETREATS INC. DBA HARBOR BREEZE SENIOR LIVING

Practice address

312 N.W . Avenue D
Carrabelle, FL 32322-0612

Phone

(850) 697-2886

Fax

(850) 697-3046

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By 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

Mr. Ralph E Hardy

Title

Owner/President

Phone

(850) 697-2886

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1942436563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "address_2": "312 N.W. AVE. D",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323220612",
            "telephone_number": "850-697-2886",
            "fax_number": "850-697-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N.W . AVENUE D",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323220612",
            "telephone_number": "850-697-2886",
            "fax_number": "850-697-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RETREATS INC. DBA HARBOR BREEZE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-697-2886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676935700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Carrabelle, FL
• Providers in Carrabelle, 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 Jun 10, 2009; 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.