Comfort Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7175 Issued in FL

Legal business name

COMFORT MANOR INC

Doing business as

Caring Angels

Practice address

6405 40TH Ave N
St Petersburg, FL 33709-4901

Phone

(727) 666-5057

NPI assigned

Apr 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ravi Kumar

Title

Administrator

Phone

(727) 666-5057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARING ANGELS Doing business as

Tax ID family

Caring Angels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Comfort Manor Inc.

  • Assisted Living Facility
  • St Petersburg, FL
  • NPI 1174691265
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1023463031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094901",
            "telephone_number": "727-666-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-666-5057"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009631300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARING ANGELS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coming Out of the Dark
• Communication Corner and More, Inc. (Kids SPOT)

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.