Organization Active NPI

Loreal LLC

  • Assisted Living Facility
  • Lakeland, FL
National Provider Identifier
1992059489
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Nov 5, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.