BRISIANA MANOR
NPI 1780825489
Assisted Living Facility in Sarasota, FL

Q: What is Excelsior Omega Inc.'s NPI number?

The NPI number for Excelsior Omega Inc. is 1780825489. It was assigned to this organization in the NPPES registry on March 10, 2009. The provider is doing business as Brisiana Manor.

Q: What is Excelsior Omega Inc.'s specialty?

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

Active since March 10, 2009

15 DADE AVE, 16 ST LUCIE AVE, SARASOTA, FL 34232(941) 371-4091 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brisiana Manor NPPES

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

BRISIANA MANOR (NPI 1780825489) is a healthcare organization registered as an assisted living facility in Sarasota, Florida and active in the NPI registry since March 2009. The organization lists Jacqueline St Juste, Medicaide Eligible, as its authorized official.

NPPES Registry Identity

NPI1780825489

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEXCELSIOR OMEGA INC.

Location Address15 DADE AVE, 16 ST LUCIE AVESarasota, FL 34232-1608

Mailing Address15 Dade AveSarasota, FL 34232-1608 · (941) 371-4091

Phone(941) 371-4091

Organization SubpartNo

Authorized OfficialJacqueline St JusteMedicaide Eligible · (941) 371-4096

Enumeration DateMarch 10, 2009

Last NPPES UpdateSeptember 27, 2016

✔ NPI 1780825489 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 · AL11449

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.

15 DADE AVE, Sarasota, FL 34232

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Other Names 1

Doing Business AsBrisiana Manor

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 Excelsior Omega Inc.'s NPI number?

The NPI number for Excelsior Omega Inc. is 1780825489. It was assigned to this organization in the NPPES registry on March 10, 2009. The provider is doing business as Brisiana Manor.

Where is Excelsior Omega Inc. located?

Excelsior Omega Inc. is located at 15 Dade Ave 16 St Lucie Ave, Sarasota, FL 34232. The listed phone number is (941) 371-4091.

What is Excelsior Omega Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Excelsior Omega Inc. was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.