=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366266587
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST CARE SENIOR LIVING AT OCALA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2024
-----------------------------------------------------
Last Update Date | 11/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2300 SW 21ST CIR
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34471-7736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-861-2887
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6983 E FOWLER AVE
-----------------------------------------------------
City | TEMPLE TERRACE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33617-1714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-733-0909
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO,COO
-----------------------------------------------------
Name | BASIM SAED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 813-733-0909
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------