NPI Code Detail JSON Logo

1104849066 NPI number — SARASOTA FACILITY OPERATIONS LLC

NPI Number: 1104849066
Health Care Provider/Practitioner: SARASOTA FACILITY OPERATIONS LLC

Information about “1104849066” NPI (SARASOTA FACILITY OPERATIONS LLC) exists in 1104849066 in HTML format HTML  |  1104849066 in plain Text format TXT  |  1104849066 in PDF (Portable Document Format) PDF  |  1104849066 in an XML format XML  formats.

NPI Number : 1104849066 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104849066",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SARASOTA FACILITY OPERATIONS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4783 FRUITVILLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34232-1815",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-378-8000",
    "MailingAddressFaxNumber": "941-377-1454",
    "FirstLinePracticeLocationAddress": "4783 FRUITVILLE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34232-1815",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-378-8000",
    "PracticeLocationAddressFaxNumber": "941-377-1454",
    "EnumerationDate": "07/25/2006",
    "LastUpdateDate": "12/22/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "USSERY",
    "AuthorizedOfficialFirstName": "KENNETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "407-571-1550",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "SNF130470982",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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