Swan at Lake Conway

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

11542 Issued in FL

Legal business name

SWAN AT LAKE CONWAY

Practice address

3714 Saint Moritz St
Belle Isle, FL 32812-1135

Phone

(407) 860-0266

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Aster Worku Bati

Title

Owner

Phone

(407) 860-0266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1982045753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 SAINT MORITZ ST",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 SAINT MORITZ ST",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328121135",
            "telephone_number": "407-860-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN AT LAKE CONWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BATI",
        "authorized_official_first_name": "ASTER",
        "authorized_official_middle_name": "WORKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-860-0266"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "11542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Dental of Conway PLLC
• Franchasca Marie Sambula
• Amanda Dolores Someillan, BA
• Amy Stango
• Ronnie Eugene Suggs, DPM
• Swan at Lake Conway Alf
• The Recovery Corner
• Time to Talk Therapy Services LLC
• Tracerallen Medical
• Kay T Vien, O.D.

• Nursing Care Agency in Belle Isle, FL
• Providers in Belle Isle, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.