SENIOR GARDEN ASSSISTED LIVING, LLC (NPI# 1093175812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093175812 |
| Entity Type | Organization |
| Organization Name | SENIOR GARDEN ASSSISTED LIVING, LLC |
| Other Organization Name | ASSISTED LIVING FACILITY |
| Practice Address |
4034 Eagle Feather Dr Orlando FL 32829 |
| Mailing Address |
4034 Eagle Feather Dr Or FL 32829 |
| Practice Telephone | 4077313392 |
| Mailing Telephone | 4077313392 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | MRS. CANIDIDA ROLON (OWNER) |
| Authorized Official Telephone | 4077313392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12796 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| assisted living facility | Former Legal Business Name - Organization |
| Street Address |
4034 EAGLE FEATHER DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134614670 | Nashali Marie Melendez | Specialist/Technologist | 2736 Palm Isle Way, Orlando, FL 32829 | 2018-06-27 |
| 1710490354 | Kinesist LLC | Physical Therapist | 5069 Walnutridge Drive, Orlando, FL 32829 | 2017-11-06 |
| 1689910283 | Shana Symone Ferguson | Occupational Therapist | 10060 Lethbridge Drive, Orlando, FL 32829 | 2012-12-31 |
| 1609033729 | Physician Associates LLC | Family Medicine | 6447 S. Chickasaw Trail, Orlando, FL 32829 | 2008-05-16 |
| 1992983225 | Eyeglass World #95 | Eyewear Supplier (Equipment, not the service) | 8236 Lee Vista Blvd, Suite A4 - A6, Orlando, FL 32829 | 2008-02-08 |
| 1831286814 | Beena Naz | Internal Medicine | 4882 Quality Trail, Orlando, FL 32829 | 2006-10-09 |
| 1477646974 | Cheryl D Sims | Nurse Practitioner | 8035 Lee Vista Blvd, Orlando, FL 32829 | 2006-10-02 |
| 1861403883 | Southeastern Dental Group | Dentist | 6415 South Chickasaw Trail, Orlando, FL 32829 | 2006-08-11 |
| 1104239268 | Mahiry Romero-salinas | Internal Medicine | 4882 Quality Trail, Orlando, FL 32829 | 2014-06-06 |
| 1487963450 | Joel Ramos-tirado | Internal Medicine | 4882 Quality Trail, Orlando, FL 32829 | 2010-09-24 |
| Find all providers in zip 32829 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352159 | Harbor Dr. Phillips Operating, LLC | Assisted Living Facility | 7233 Della Dr, Orlando, FL 32819-5127 | 2020-09-25 |
| 1467061960 | O.s.j. Family Place | Assisted Living Facility | 690 Palmera St, Orlando, FL 32811-8326 | 2020-07-30 |
| 1649888926 | Sweet Home Assisting Living Corp | Assisted Living Facility | 13533 Madison Dock Rd, Orlando, FL 32828-9511 | 2020-07-22 |
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1023644713 | True Valley Care, LLC | Assisted Living Facility | 935 Lake Sherwood Dr, Orlando, FL 32818-6610 | 2020-03-13 |
| 1699300277 | Rita De Acacias Alf Corp | Assisted Living Facility | 5241 Lima Pl, Orlando, FL 32807-1624 | 2020-03-04 |
| 1356809198 | Medical Foster Homes LLC | Assisted Living Facility | 9670 Lupine Ave, Orlando, FL 32824-8744 | 2019-03-12 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1518465848 | Centy's Alf, Inc | Assisted Living Facility | 3016 Lambath Rd, Orlando, FL 32818-3019 | 2018-02-01 |
| 1922515949 | Bridgeway Alf Corp. | Assisted Living Facility | 13437 Old Dock Rd, Orlando, FL 32828-6197 | 2017-12-29 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.