ENDURING LIFE SERVICES LLC (NPI# 1568979466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568979466 |
| Entity Type | Organization |
| Organization Name | ENDURING LIFE SERVICES LLC |
| Other Organization Name | HARMONYONE ALF |
| Practice Address |
11972 Orange Blossom Dr Seminole FL 33772-3443 |
| Practice Telephone | 7273858046 |
| Mailing Telephone | 7273858046 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | SUSANNE M CUBBERLEY (OWNER) |
| Authorized Official Telephone | 7273858046 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENDURING LIFE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL13060 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022639100 | 05 |
| Other Name | Type Code |
|---|---|
| HarmonyOne ALF | Doing Business As Name - Organization |
| Street Address |
11972 ORANGE BLOSSOM DR |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538679378 | Susanne M Cubberley | Registered Nurse | 11972 Orange Blossom Dr, Seminole, FL 33772-3443 | 2017-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| 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 |
|---|---|---|---|---|
| 1598237695 | Nicetas Gagan Mora | Assisted Living Facility | 9670 134th St, Seminole, FL 33776-1447 | 2018-12-30 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1679998207 | Christine Gibree | Assisted Living Facility | 7770 128th St, Seminole, FL 33776-4100 | 2014-02-18 |
| 1417378738 | Roy Brito | Assisted Living Facility | 7555 131st St, Seminole, FL 33776-4010 | 2014-01-05 |
| 1801217914 | Island Splendor Alf Inc. | Assisted Living Facility | 9057 109th Ave, Seminole, FL 33777-1115 | 2013-12-17 |
| 1770911042 | Silmar Pastor Corp | Assisted Living Facility | 11177 70th Ave, Seminole, FL 33772-6311 | 2013-10-24 |
| 1124465190 | Dolphin House Assisted Living Facility | Assisted Living Facility | 9670 134th Street N., Seminole, FL 33776 | 2013-05-30 |
| 1003175936 | A Safe Haven Assisted Living, LLC | Assisted Living Facility | 9000 86th Ave, Seminole, FL 33777-2641 | 2012-05-13 |
| 1679720270 | Arden Courts of Seminole Fl LLC | Assisted Living Facility | 9300 Antilles Dr, Seminole, FL 33776-2153 | 2008-08-26 |
| 1215043427 | Lake Balaton, Inc. | Assisted Living Facility | 9225 82nd Avenue N., Suite 312, Seminole, FL 33777-2821 | 2006-08-21 |
| Find all providers in SEMINOLE | ||||
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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.