Organization Active NPI

BKW - Greenacres Asset Management Company

Doing business as Arbor Oaks at Greenacres

  • Assisted Living Facility (Behavioral Disturbances)
  • Greenacres, FL
National Provider Identifier
1982319026
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
BKW - GREENACRES ASSET MANAGEMENT COMPANY
Doing business as
Arbor Oaks at Greenacres
Practice address
3400 S Jog Rd
Greenacres, FL 33467-2080
Phone
(561) 432-4700
NPI assigned
Jan 23, 2023
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Michael Demarcay
Title
Vice President
Phone
(813) 221-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

3400 S Jog Rd
Greenacres, FL 33467-2080

Mailing address

1120 E Kennedy Blvd Unit 225
Tampa, FL 33602-3578
Phone (813) 221-3344

Other identifiers 1

IdentifierTypeStateIssuer
114459200MedicaidFL

Other names 1

  • Arbor Oaks at Greenacres Doing business as

National Provider Directory

National Provider Directory

Locations

1120 E Kennedy Blvd
Unit 225
Tampa, FL 33602

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1982319026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E KENNEDY BLVD UNIT 225",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023578",
            "telephone_number": "813-221-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672080",
            "telephone_number": "561-432-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKW - GREENACRES ASSET MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "DEMARCAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-221-3344"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114459200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Oaks at Greenacres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.