SENIOR LIVING PROPERTIES IV, LLC (NPI# 1700395613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700395613 |
| Entity Type | Organization |
| Organization Name | SENIOR LIVING PROPERTIES IV, LLC |
| Other Organization Name | SAVANNAH COURT OF BRANDON |
| Practice Address |
824 N Parsons Ave Brandon FL 33510-3435 |
| Mailing Address |
4611 Johnson Rd Unit 1 Coconut Creek FL 33073-4361 |
| Practice Telephone | 8136436767 |
| Practice Fax Number | 8136434992 |
| Mailing Telephone | 9546911030 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Authorized Official Name | URI RUBIN (MANAGING PARTNER) |
| Authorized Official Telephone | 9546911030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Savannah Court of Brandon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042186 | Senior Living Properties Iv, LLC | Assisted Living Facility | 7130 Beneva Rd, Sarasota, FL 34238-2870 | 2017-09-22 |
| 1841709847 | Senior Living Properties Iv, LLC | Assisted Living Facility | 605 Carpenters Way, Lakeland, FL 33809-3919 | 2017-09-22 |
| 1407198500 | Senior Living Properties Iv, LLC | Point of Service | 445 Alexandria Blvd, Oviedo, FL 32765-5516 | 2013-03-27 |
| 1659613750 | Senior Living Properties Iv, LLC | Point of Service | 395 Alafaya Woods Blvd, Oviedo, FL 32765-7095 | 2013-03-27 |
| 1407198997 | Senior Living Properties Iv, LLC | Assisted Living Facility | 355 Alafaya Woods Blvd, Oviedo, FL 32765-7095 | 2013-03-22 |
| Street Address |
824 N PARSONS AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| 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 |
|---|---|---|---|---|
| 1104318435 | Park View of Brandon LLC | Assisted Living Facility | 1502 Bryan Rd, Brandon, FL 33511-6835 | 2018-06-01 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1013432723 | Brisas Del Caribe Alf | Assisted Living Facility | 2203 Shermont Place, Brandon, FL 33511 | 2017-08-03 |
| 1396269049 | Milagros Carreno | Assisted Living Facility | 2203 Shermont Pl, Brandon, FL 33511-6935 | 2017-08-02 |
| 1003364183 | Living Well Senior Care | Assisted Living Facility | 2006 Wrangler Dr, Brandon, FL 33511-2121 | 2016-09-16 |
| 1497202576 | Brandon Bg Opco LLC | Assisted Living Facility | 700 S Kings Ave, Brandon, FL 33511-5925 | 2016-09-06 |
| 1699143354 | Whispering Willows, Alf | Assisted Living Facility | 3005 Bell Shoals Rd, Brandon, FL 33511-7613 | 2015-09-10 |
| 1942693395 | Ava Cares LLC | Assisted Living Facility | 616 Valle Vista Dr, Brandon, FL 33511-7830 | 2015-03-10 |
| 1376941708 | Ava Cares, LLC | Assisted Living Facility | 1007 Brooker Rd, Brandon, FL 33511-7619 | 2014-12-17 |
| Find all providers in BRANDON | ||||
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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.