MEDICARE: BEST CARE SENIOR LIVING AT PORT CHARLOTTE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1568320414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE SENIOR LIVING AT PORT CHARLOTTE LLC

Provider Business Mailing Address
First Line	:	6983 E FOWLER AVE
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22332 VICK ST
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980-2053
Country	:	US
Telephone Number	:	941-627-5388
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BASIM SAED
Credential	:
Telephone Number	:	813-733-0909

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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