Provider Demographics
NPI:1447072459
Name:VERA ASSISTED LIVING FACILITIES FLORIDA LLC
Entity type:Organization
Organization Name:VERA ASSISTED LIVING FACILITIES FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DHARMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUKARAPU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-221-1144
Mailing Address - Street 1:100 E PINE ST STE 110
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2759
Mailing Address - Country:US
Mailing Address - Phone:239-221-1144
Mailing Address - Fax:
Practice Address - Street 1:109 N SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-4148
Practice Address - Country:US
Practice Address - Phone:352-344-5555
Practice Address - Fax:352-726-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility