Provider Demographics
NPI:1497949895
Name:RSC SARASOTA HH, LLC
Entity Type:Organization
Organization Name:RSC SARASOTA HH, LLC
Other - Org Name:HERON HOUSE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:N
Authorized Official - Last Name:OBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-955-7575
Mailing Address - Street 1:3221 FRUITVILLE RD.
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237
Mailing Address - Country:US
Mailing Address - Phone:941-955-7575
Mailing Address - Fax:941-330-8609
Practice Address - Street 1:3221 FRUITVILLE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6452
Practice Address - Country:US
Practice Address - Phone:941-955-7575
Practice Address - Fax:941-330-8609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9345310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility