Provider Demographics
NPI:1750995908
Name:ANGELS SENIOR LIVING AT SARASOTA, LLC
Entity type:Organization
Organization Name:ANGELS SENIOR LIVING AT SARASOTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-886-2023
Mailing Address - Street 1:5750 HONORE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3249
Mailing Address - Country:US
Mailing Address - Phone:941-229-7709
Mailing Address - Fax:813-886-2096
Practice Address - Street 1:5750 HONORE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3249
Practice Address - Country:US
Practice Address - Phone:941-229-7709
Practice Address - Fax:813-886-2096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility