MEDICARE: ANSLEY COURT & COTTAGE OVIEDO 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356282941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANSLEY COURT & COTTAGE OVIEDO LLC

Provider Business Mailing Address
First Line	:	355 ALAFAYA WOODS BLVD
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7095
Country	:	US
Telephone Number	:	407-977-8786
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 ALAFAYA WOODS BLVD
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7095
Country	:	US
Telephone Number	:	407-977-8786
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	SAVITRI JOHNSON
Credential	:
Telephone Number	:	863-226-0358

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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