Provider Demographics
NPI:1902249733
Name:WW ZEPHYRHILLS LLC
Entity Type:Organization
Organization Name:WW ZEPHYRHILLS LLC
Other - Org Name:WEST WINDS ASSISTED LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:O'KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-422-3533
Mailing Address - Street 1:37411 EILAND BLVD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-1800
Mailing Address - Country:US
Mailing Address - Phone:813-783-8100
Mailing Address - Fax:
Practice Address - Street 1:37411 EILAND BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-1800
Practice Address - Country:US
Practice Address - Phone:813-783-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11257310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility