Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Excelsior Omega Inc

Organization Assisted Living Facility · NPI 1780825489

Excelsior Omega Inc is an Assisted Living Facility in Sarasota, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Dade Ave 16 St Lucie Ave
Sarasota, FL 34232-1608
Phone: (941) 371-4091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL11449 (FL)

Record details

NPI number1780825489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline St Juste — Medicaide Eligible · (941) 371-4096
Other names Brisiana Manor
NPI enumeratedMarch 10, 2009
Last updated in NPPESSeptember 27, 2016
Mailing address15 Dade Ave, Sarasota, FL 34232-1608

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