Four Seasons Alf Dba Sanford Manor Alf

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL4789 Issued in FL

Legal business name

FOUR SEASONS ALF DBA SANFORD MANOR ALF

Practice address

1704 W 9TH St
Sanford, FL 32771-2381

Phone

(407) 322-3321

Fax

(407) 322-3324

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Carviz Carlos

Title

Administrator

Phone

(407) 322-3321

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Four Seasons Alf Dba Sanford Manor Alf2 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.

• Four Seasons Alf Inc

  • Assisted Living Facility
  • Sanford, FL
  • NPI 1265633762
  NPD tax ID

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1972811339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W 9TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712381",
            "telephone_number": "407-322-3321",
            "fax_number": "407-322-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W 9TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712381",
            "telephone_number": "407-322-3321",
            "fax_number": "407-322-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS ALF DBA SANFORD MANOR ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "CARVIZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-322-3321"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL4789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000390200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000390700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida United Radiology LC
• Sarah Folan, RDH
• Sarah Foss
• Fossitt Therapy Services, Inc.
• Lawrence Allen Fossitt, M.P.T., C.F.M.T.
• Four Seasons Alf Inc
• Bonnie Jean Francl, PT, DPT, LAT, ATC
• Marta Franco
• Chonte Nakisha Francois, MS, CCC-SLP
• Felix Scott Fraustro, NP

• Assisted Living Facility (Mental Illness) in Sanford, FL
• Providers in Sanford, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.