Provider Demographics
NPI:1366635187
Name:HERON EAST
Entity Type:Organization
Organization Name:HERON EAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:941-378-5757
Mailing Address - Street 1:2290 CATTLEMEN RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6277
Mailing Address - Country:US
Mailing Address - Phone:941-378-5757
Mailing Address - Fax:941-343-6152
Practice Address - Street 1:2290 CATTLEMEN RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6277
Practice Address - Country:US
Practice Address - Phone:941-378-5757
Practice Address - Fax:941-343-6152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9680310400000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility