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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114459200 | Medicaid | FL |
Other names 1
- Arbor Oaks at Greenacres
National Provider Directory
National Provider DirectoryLocations
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.