Spring Pine LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12580 Issued in FL

Legal business name

SPRING PINE LLC

Practice address

1324 Mill Slough Rd
Kissimmee, FL 34744-2620

Phone

(321) 246-7486

Fax

(407) 870-7691

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Vesna Sakalas

Title

Administrator

Phone

(321) 246-7484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1952708752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 MILL SLOUGH RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442620",
            "telephone_number": "321-246-7486",
            "fax_number": "407-870-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 MILL SLOUGH RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442620",
            "telephone_number": "321-246-7486",
            "fax_number": "407-870-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING PINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "SAKALAS",
        "authorized_official_first_name": "VESNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-246-7484",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Kissimmee, 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 Nov 24, 2014; 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.