ESC NEW PORT RICHEY, LLC (NPI# 1861639585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861639585 |
| Entity Type | Organization |
| Organization Name | ESC NEW PORT RICHEY, LLC |
| Other Organization Name | BROOKDALE OAKBRIDGE |
| Practice Address |
3110 Oakbridge Blvd E Lakeland FL 33803-5987 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 8636471199 |
| Practice Fax Number | 8636479229 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
| Authorized Official Telephone | 6155648131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | AL7902 | FL | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | AL7902 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0103574-00 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Oakbridge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104046622 | Esc New Port Richey, LLC | Alzheimer Center (Dementia Center) | 6400 Trouble Creek Rd, New Port Richey, FL 34653-5248 | 2007-04-26 |
| 1649399577 | Esc New Port Richey, LLC | Assisted Living Facility | 1896 Park Meadows Dr, Fort Myers, FL 33907-3738 | 2007-03-29 |
| Street Address |
3110 OAKBRIDGE BLVD E |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-5987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841246329 | Oakbridge Health Care Associates LLC | Skilled Nursing Facility | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2006-05-26 |
| 1326659194 | Alison Kishter | Occupational Therapy Assistant | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2020-08-13 |
| 1366060311 | Cierra Jones | Occupational Therapy Assistant | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2020-07-07 |
| 1760008346 | Natalie Sloane Arena | Occupational Therapist | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2020-06-19 |
| 1730713090 | Oakbridge Nursing and Rehab Center LLC | Skilled Nursing Facility | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2020-02-26 |
| 1326574088 | Nichole Byer | Physical Therapy Assistant | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2017-05-02 |
| 1306371265 | Jorge Espinosa | Physical Therapy Assistant | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2017-04-27 |
| 1104373257 | Lakeland Bg Opco LLC | Assisted Living Facility | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2016-09-07 |
| 1497111280 | Eric Senate | Occupational Therapy Assistant | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2016-01-08 |
| 1417349945 | Audrey Brown | Occupational Therapy Assistant | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2015-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| 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 |
|---|---|---|---|---|
| 1831798289 | Siloam Health Care Services | Assisted Living Facility | 1205 Neville Ave, Lakeland, FL 33805-4144 | 2020-10-17 |
| 1841709847 | Senior Living Properties Iv, LLC | Assisted Living Facility | 605 Carpenters Way, Lakeland, FL 33809-3919 | 2017-09-22 |
| 1972975605 | The Manor At Lake Morton | Assisted Living Facility | 522 E Lime St, Lakeland, FL 33801-5313 | 2015-10-21 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1780019992 | Florida Living Options Inc | Assisted Living Facility | 6150 Lakeland Highlands Rd, Lakeland, FL 33813-3850 | 2013-09-06 |
| 1922396431 | Kindhearted Assisted Living Facility, Inc. | Assisted Living Facility | 2815 Cleveland Heights Blvd, Lakeland, FL 33803-4107 | 2011-07-18 |
| 1477858520 | Lwrc Inc | Assisted Living Facility | 315 W Peachtree St, Lakeland, FL 33815-1531 | 2011-01-21 |
| 1013167691 | Lake Morton Plaza, LLC | Assisted Living Facility | 400 S Florida Ave, Lakeland, FL 33801-5254 | 2008-09-19 |
| 1740449263 | Andrada Guerzon #1 Corp | Assisted Living Facility | 815 W Daughtery Rd, Lakeland, FL 33809-3121 | 2008-06-09 |
| 1992979405 | Sedona Garden Assisted Living & Memory Care | Assisted Living Facility | 610 E Lime St, Lakeland, FL 33801-5444 | 2008-04-15 |
| Find all providers in LAKELAND | ||||
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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.