S&S Senior Housing of Madison LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6020 Issued in FL

Legal business name

S&S SENIOR HOUSING OF MADISON LLC.

Practice address

765 NE Delphinium Dr
Madison, FL 32340-5412

Phone

(850) 973-6892

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By 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

Mark Simons

Title

Owner

Phone

(850) 973-6892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1962937359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 NE DELPHINIUM DR",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323405412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 NE DELPHINIUM DR",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323405412",
            "telephone_number": "850-973-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S SENIOR HOUSING OF MADISON LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-973-6892"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Madison, FL
• Providers in Madison, 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 Apr 24, 2017; 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.