NPI Code Detail JSON Logo

1508312216 NPI number — RIVERSIDE CARE OF FLORIDA, LLC

NPI Number: 1508312216
Health Care Provider/Practitioner: RIVERSIDE CARE OF FLORIDA, LLC

Information about “1508312216” NPI (RIVERSIDE CARE OF FLORIDA, LLC) exists in 1508312216 in HTML format HTML  |  1508312216 in plain Text format TXT  |  1508312216 in PDF (Portable Document Format) PDF  |  1508312216 in an XML format XML  formats.

NPI Number : 1508312216 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508312216",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RIVERSIDE CARE OF FLORIDA, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "210 S. PARSONS AVE",
    "SecondLineMailingAddress": "SUITE 9",
    "MailingAddressCityName": "BRANDON",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-707-0400",
    "MailingAddressFaxNumber": "813-322-2362",
    "FirstLinePracticeLocationAddress": "210 S. PARSONS AVE",
    "SecondLinePracticeLocationAddress": "SUITE 9",
    "PracticeLocationAddressCityName": "BRANDON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-707-0400",
    "PracticeLocationAddressFaxNumber": "813-322-2362",
    "EnumerationDate": "09/01/2016",
    "LastUpdateDate": "08/26/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIMPSON",
    "AuthorizedOfficialFirstName": "CASSANDRA",
    "AuthorizedOfficialMiddleName": "VIRGINIA",
    "AuthorizedOfficialTitle": "OWNER/ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BSN, RN, OCN, CMSRN",
    "AuthorizedOfficialTelephoneNumber": "813-707-0400",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": "234041",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.