Healthcare Provider Details

I. General information

NPI: 1598045320
Provider Name (Legal Business Name): BGI RETIREMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 18TH ST
SARASOTA FL
34234-8657
US

IV. Provider business mailing address

4700 SHERIDAN ST SUITE B
HOLLYWOOD FL
33021-3420
US

V. Phone/Fax

Practice location:
  • Phone: 941-955-4915
  • Fax: 954-367-4564
Mailing address:
  • Phone: 954-367-4563
  • Fax: 954-367-4564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: MRS. MARGARET HUDSON FERNANDEZ
Title or Position: CFO
Credential:
Phone: 954-367-4563