741 SOUTH BENEVA ROAD OPERATIONS LLC NPI 1396192134

NPI Information

NPI: 1396192134
Provider Name: 741 SOUTH BENEVA ROAD OPERATIONS LLC

Doing Business As: BENEVA LAKES ASSISTED LIVING CENTER

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
743 S BENEVA RD
SARASOTA, FL
ZIP 34232
Phone: (941) 316-0151
Get Directions

741 SOUTH BENEVA ROAD OPERATIONS LLC is an assisted living facility in Sarasota, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. 741 SOUTH BENEVA ROAD OPERATIONS LLC NPI is 1396192134. The provider is registered as an organization entity type.
The provider Is Doing Business As Beneva Lakes Assisted Living Center.

The provider's business location address is:

743 S BENEVA RD
SARASOTA, FL
ZIP 34232-411
Phone: (941) 316-0151
Fax: (941) 316-0218

The provider's authorized official is Kenneth Ussery .
The authorized official title is Vp and has the following contact phone number (407) 571-1550.

The CLIA number assigned to this NPI record is 10D0912318 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 5/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL6563	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017573700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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