Bear Lake Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8413 Issued in FL

Legal business name

BEAR LAKE RETIREMENT HOME

Practice address

1525 Bear Lake Rd
Apopka, FL 32703-6736

Phone

(407) 296-7075

Fax

(321) 445-4740

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Marina Nieves

Title

Owner

Phone

(407) 296-7075

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1962849778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BEAR LAKE RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036736",
            "telephone_number": "407-296-7075",
            "fax_number": "321-445-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BEAR LAKE RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036736",
            "telephone_number": "407-296-7075",
            "fax_number": "321-445-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR LAKE RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-296-7075"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140986700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo E. Bauza Vinas, M.D.
• Julie P Bayly
• Jenny Bazelais
• Beacon of Hope Homecare
• Bear Lake Pharmacy, LLC
• Karina Beasley
• Arthur Beckett, PHARMD
• Vanessa Beckley
• Lauren Bedney, MD
• Majda Behani, MD

• All providers in Apopka, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.