Active NPI
Loreal LLC
- Assisted Living Facility
- Lakeland, FL
National Provider Identifier
1992059489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LOREAL LLC
- Practice address
- 747 Bon Air St
Lakeland, FL 33805-4631 - Phone
- (863) 688-1196
- Fax
- (863) 687-7707
- NPI assigned
- Nov 5, 2012
- 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
- Mr. Rafael Bona
- Title
- MGR
- Phone
- (727) 439-2677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
747 Bon Air St
Lakeland, FL 33805-4631
Mailing address
1694 Bayhill Dr
Oldsmar, FL 34677-1956
Phone (727) 787-1260
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352073600000",
"number": "1992059489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1694 BAYHILL DR",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346771956",
"telephone_number": "727-787-1260",
"fax_number": "727-787-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 BON AIR ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054631",
"telephone_number": "863-688-1196",
"fax_number": "863-687-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOREAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A",
"authorized_official_last_name": "BONA",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "727-439-2677",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.