Rastelle Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5777 Issued in FL

Legal business name

RASTELLE MANOR

Practice address

934 S Ridgewood Ave
Daytona Beach, FL 32114-5328

Phone

(386) 252-2627

Fax

(386) 252-4236

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Winston Cubero Bernabe

Title

Owner/Administrator

Phone

(386) 252-2627

Specialties & licenses 1

Addresses

Other names 1

• New Era Assisted Living Doing business as

Tax ID family

Bersonn LLC2 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.

• Bersonn LLC

  • Assisted Living Facility
  • Daytona Beach, FL
  • NPI 1427595867
  NPD tax ID

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1972563526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145328",
            "telephone_number": "386-252-2627",
            "fax_number": "386-252-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145328",
            "telephone_number": "386-252-2627",
            "fax_number": "386-252-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASTELLE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "BERNABE",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "CUBERO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "386-252-2627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Era Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mashud Rana, MD
• Ramanpreet Kaur Randhawa-Kohli, DDS
• Madison Lynn Ranew, MS, RD, LDN
• Lakshmi Gloria Rao, DO
• Ronald R Rasmussen, M.D.
• Christa Mae Ratcliff, AU.D.
• Vanessa Raulerson, ACNP-AG
• Elizabeth Nicole Rausch, COTA/L
• Kevin Clark Raval, RPH.
• William Ravizza

• Assisted Living Facility in Daytona Beach, FL
• Providers in Daytona Beach, 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 Mar 10, 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.