Hampton Alf at Gardens, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8142 Issued in FL

Legal business name

HAMPTON ALF AT GARDENS, LLC

Practice address

12080 SW CR 484
Dunnellon, FL 34432

Phone

(352) 489-9698

Fax

(352) 489-7284

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Pam Cutsuries

Title

VP of Operations

Phone

(352) 804-5040

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1982902680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12080 SW CR 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "34432",
            "telephone_number": "352-489-9698",
            "fax_number": "352-489-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 SW CR 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "34432",
            "telephone_number": "352-489-9698",
            "fax_number": "352-489-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ALF AT GARDENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "CUTSURIES",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "352-804-5040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001642700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa A Grimes
• Growing Well Family Behavioral Services
• Kathleen Marie Hahn, PT
• Shanna Hall, RBT
• Tiffany Hammond, APRN
• Hampton Alf at West, LLC
• Mark Edward Hampton, D.D.S.
• Patricia Denise Hance
• Harbor House Alf LLC
• Inaya Harmon, RBT

• All providers in Dunnellon, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.