Bryant Manor, Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

BRYANT MANOR, INC

Practice address

385 Lake Amberleigh Dr
Winter Garden, FL 34787-5250

Phone

(321) 405-4704

NPI assigned

Jul 16, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kwanza Lynne Bryant

Title

President

Phone

(321) 405-4704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657929600000",
    "number": "1083349815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LAKE AMBERLEIGH DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 LAKE AMBERLEIGH DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875250",
            "telephone_number": "321-405-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KWANZA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-405-4704",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.