Swan at Lake Conway Alf

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SWAN AT LAKE CONWAY ALF

Practice address

3714 Saint Moritz St
Belle Isle, FL 32812-1135

Phone

(410) 946-4116

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Beneyam Tefera

Title

Owner

Phone

(410) 946-4116

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1962142646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 SAINT MORITZ ST",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121135",
            "telephone_number": "410-946-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 SAINT MORITZ ST",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121135",
            "telephone_number": "410-946-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN AT LAKE CONWAY ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "TEFERA",
        "authorized_official_first_name": "BENEYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-946-4116"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franchasca Marie Sambula
• Amanda Dolores Someillan, BA
• Amy Stango
• Ronnie Eugene Suggs, DPM
• Swan at Lake Conway
• The Recovery Corner
• Time to Talk Therapy Services LLC
• Tracerallen Medical
• Kay T Vien, O.D.
• Kristy L. Warren, MSN-ED,RN

• Home Health Agency in Belle Isle, FL
• Providers in Belle Isle, 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 Dec 1, 2022; 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.