Provider Demographics
NPI:1578387791
Name:BEST CARE SENIOR LIVING AT BRANDON LLC
Entity type:Organization
Organization Name:BEST CARE SENIOR LIVING AT BRANDON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO,COO
Authorized Official - Prefix:
Authorized Official - First Name:BASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-733-0909
Mailing Address - Street 1:6983 E FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1819 PROVIDENCE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-1899
Practice Address - Country:US
Practice Address - Phone:813-657-8587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility