FAIRWAY PINES AT SUN N LAKES - NPI 1295959815 - Assisted Living Facility in Sebring, FL

Q: What is American Senior Living Of Sebring, Fl, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

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About Fairway Pines At Sun N Lakes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRWAY PINES AT SUN N LAKES (NPI 1295959815) is a healthcare organization registered as an assisted living facility in Sebring, Florida and active in the NPI registry since April 2007. The organization lists Mederia Doran, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295959815

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameAMERICAN SENIOR LIVING OF SEBRING, FL, LLC

Location Address5959 SUN N LAKE BLVDSebring, FL 33872-2075

Mailing Address5959 Sun N Lake BlvdSebring, FL 33872-2075 · (863) 385-5454

Phone(863) 385-5454

Organization SubpartNo

Authorized OfficialMederia DoranExecutive Director · (863) 385-5454

Enumeration DateApril 13, 2007

Last NPPES UpdateJune 12, 2008

✔ NPI 1295959815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL5105

Definition

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.

5959 SUN N LAKE BLVD, Sebring, FL 33872

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Other Names 1

Doing Business AsFairway Pines At Sun N Lakes

Other Identifiers 2

Medicaid686324800FL

Medicaid140900000FL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNETTE M. BULLARD COTA

Occupational Therapist