Harborchase of Gainesville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9815 Issued in FL

Legal business name

HARBORCHASE OF GAINESVILLE, LLC

Doing business as

HarborChase of Gainesville

Practice address

1415 Fort Clarke Blvd
Gainesville, FL 32606-7181

Phone

(352) 332-4505

Fax

(352) 331-4909

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Anne Smick Dembrowski

Title

Authorized Representative

Phone

(772) 492-5002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• HarborChase of Gainesville Doing business as
• HarborChase of Gainesville, Inc. Former legal business name

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1972924231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 FORT CLARKE BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067181",
            "telephone_number": "352-332-4505",
            "fax_number": "352-331-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FORT CLARKE BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067181",
            "telephone_number": "352-332-4505",
            "fax_number": "352-331-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORCHASE OF GAINESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "SMICK DEMBROWSKI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "772-492-5002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107369000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HarborChase of Gainesville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HarborChase of Gainesville, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Summon Haq
• Azan Haque
• Naho Harada
• Christopher Harb, DO
• John William Harbilas, PHARM.D.
• Kenneth Wayne Harbour, R.R.A, R.T.(R)
• Lori Ann Hardcastle, RN
• Ricki Hardcastle
• Keren Silverberg Hardee, ARNP
• Alana Hardeman, ATC

• Assisted Living Facility in Gainesville, FL
• Providers in Gainesville, 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 Oct 6, 2021; 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.