Organization Active NPI

Amonet Healthcare

  • Assisted Living Facility
  • Lakeland, FL
National Provider Identifier
1053528695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8544 Issued in FL
Legal business name
AMONET HEALTHCARE
Practice address
3434 Knights Station Rd
Lakeland, FL 33810-2517
Phone
(863) 853-8484
Fax
(863) 853-2944
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christine Mary Clark, MHSA
Title
Administrator
Phone
(863) 853-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8544 FL Primary

Addresses

Primary practice location

3434 Knights Station Rd
Lakeland, FL 33810-2517

Mailing address

3434 Knights Station Rd
Lakeland, FL 33810-2517
Phone (863) 853-8484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053528695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 KNIGHTS STATION RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102517",
            "telephone_number": "863-853-8484",
            "fax_number": "863-853-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 KNIGHTS STATION RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102517",
            "telephone_number": "863-853-8484",
            "fax_number": "863-853-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMONET HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-853-8484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.