Adrian Manor

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL10857 Issued in FL

Legal business name

ADRIAN MANOR

Practice address

2168 9TH Ave N
St Petersburg, FL 33713-7134

Phone

(727) 328-1348

Fax

(727) 824-6364

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valdene Forde

Title

Administrator

Phone

(727) 896-4515

Specialties & licenses 1

Addresses

Tax ID family

Adrian Manor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Leon Manor Assisted Facility

  • Assisted Living Facility
  • St Petersburg, FL
  • NPI 1982035937
  NPD tax ID
• Val Mar Enterprises

  dba Butterfly Manor

  • Assisted Living Facility
  • St Petersburg, FL
  • NPI 1336585843
  NPD tax ID

Locations

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1043642606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137134",
            "telephone_number": "727-328-1348",
            "fax_number": "727-824-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137134",
            "telephone_number": "727-328-1348",
            "fax_number": "727-824-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "VALDENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-896-4515"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL10857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bashar Adeinat
• Oluwagbemiga Adeyanju Adeyemi, MD
• Angie Adhami
• Ariel Adkins
• Rachel Adler, LCSW
• Cynthia Adshade
• Adult Care and Respite, Inc.
• Adult Home Care, LLC
• Adult Home Villa, Inc.
• Advanced Bay Area Medical Associates

• Assisted Living Facility (Mental Illness) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.