Comfort Gardens,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12747 Issued in FL

Legal business name

COMFORT GARDENS,LLC

Practice address

1108 Black Knight Dr
Valrico, FL 33594-5800

Phone

(813) 689-3707

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Glorylyn T Maniago, RN

Title

Administrator

Phone

(813) 689-3707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1053786806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BLACK KNIGHT DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945800",
            "telephone_number": "813-689-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BLACK KNIGHT DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945800",
            "telephone_number": "813-689-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT GARDENS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MANIAGO",
        "authorized_official_first_name": "GLORYLYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-689-3707",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Valrico, FL
• Providers in Valrico, 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 Dec 11, 2015; 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.