SUPERIOR RESIDENCES OF BRANDON
NPI 1184045890
Assisted Living Facility in Brandon, FL
About Superior Residences Of Brandon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPERIOR RESIDENCES OF BRANDON (NPI 1184045890) is a healthcare organization registered as an assisted living facility in Brandon, Florida and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Dennis Mccarthy, Cio, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1014321
H-Bay Ministries Inc Dba Superior Residences Of Brandon · Brandon, FLOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRANDON, FL 33511
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sri Of Brandon Mc, LLC's NPI number?
The NPI number for Sri Of Brandon Mc, LLC is 1184045890. It was assigned to this organization in the NPPES registry on December 23, 2013. The provider is doing business as Superior Residences Of Brandon.
Where is Sri Of Brandon Mc, LLC located?
Sri Of Brandon Mc, LLC is located at 1819 Providence Ridge Blvd, Brandon, FL 33511. The listed phone number is (813) 657-8587.
What is Sri Of Brandon Mc, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Sri Of Brandon Mc, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1014321) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sri Of Brandon Mc, LLC was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Superior Residences Of Brandon · NPI 1184045890
Assisted Living Facility organization in Brandon, Florida. Organization record, active in the CMS NPPES registry since December 23, 2013.
## Identity
- **NPI:** 1184045890 (Entity type: Organization)
- **Enumerated:** December 23, 2013
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Sri Of Brandon Mc, Llc
- **Organization subpart:** Yes (part of Superior Residences, Inc)
- **Authorized official:** Dennis Mccarthy, CIO
## Practice location
- **Address:** 1819 PROVIDENCE RIDGE BLVD, Brandon, FL 33511-1899
- **Phone:** (813) 657-8587
## Record status
- **NPPES last updated:** December 23, 2013
- **Other identifiers:** Other 9739 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184045890) · Data from the CMS NPPES public registry.