NPIMap

Organization Active NPI

Titusville Senior Living Partners, LLC

Doing business as Benton House of Titusville

  • Assisted Living Facility
  • Titusville, FL
National Provider Identifier
1952606519
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11575 Issued in FL
Legal business name
TITUSVILLE SENIOR LIVING PARTNERS, LLC
Doing business as
Benton House of Titusville
Practice address
497 N Washington Ave
Titusville, FL 32796-2839
Phone
(321) 383-2112
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Mrs. Shelley Beville
Title
Executive Director
Phone
(321) 383-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11575 FL Primary

Addresses

Primary practice location

497 N Washington Ave
Titusville, FL 32796-2839

Mailing address

497 N Washington Ave
Titusville, FL 32796-2839
Phone (321) 383-2112

Other identifiers 1

IdentifierTypeStateIssuer
AL11575OtherFLACHA

Other names 1

  • Benton House of Titusville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benton House of Titusville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1952606519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 N WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962839",
            "telephone_number": "321-383-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 N WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962839",
            "telephone_number": "321-383-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUSVILLE SENIOR LIVING PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "BEVILLE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-383-2112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA",
            "identifier": "AL11575",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benton House of Titusville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.