Provider Demographics
NPI:1477806446
Name:EQUITY PROPERTIES LLC.
Entity Type:Organization
Organization Name:EQUITY PROPERTIES LLC.
Other - Org Name:SUNCOAST RETREAT ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DAMIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-848-6222
Mailing Address - Street 1:8151 TREELET CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-2438
Mailing Address - Country:US
Mailing Address - Phone:727-848-6222
Mailing Address - Fax:727-848-3278
Practice Address - Street 1:8151 TREELET CT
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-2438
Practice Address - Country:US
Practice Address - Phone:727-848-6222
Practice Address - Fax:727-848-3278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL10530310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL691268100Medicaid