SOUTHERN LIVE IN NPI 1831489632

NPI Information

  • NPI: 1831489632
  • Provider Name: SOUTHERN LIVE IN
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SOUTHERN LIVE IN OF BRANDON
  • Address: 619 PRINCETON ST
    BRANDON, FL
    ZIP 33511
  • Phone: (813) 655-0822

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NPI Details

SOUTHERN LIVE IN is an assisted living facility in Brandon, 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. SOUTHERN LIVE IN NPI is 1831489632. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Live In Of Brandon.

The provider's business location address is:

619 PRINCETON ST
BRANDON, FL
ZIP 33511-129
Phone: (813) 655-0822
Fax: (813) 681-1482

The provider's authorized official is Melonie Bessette .
The authorized official title is President and has the following contact phone number (813) 655-0822.

The enumeration date for this NPI number is 4/13/2011 and was last updated on 3/22/2023.

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
1310400000XAssisted Living FacilityAL9890FLORIDAYes

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: 11/21/2025

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