Angels Senior Living at Connerton Court

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12268 Issued in FL

Legal business name

ANGELS SENIOR LIVING AT CONNERTON COURT

Practice address

21021 Betel Palm LN
Land O Lakes, FL 34638-2571

Phone

(813) 545-0682

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By 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

Robert S Bennett, MBA

Title

Manager

Phone

(813) 545-0682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1093190522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21021 BETEL PALM LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21021 BETEL PALM LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382571",
            "telephone_number": "813-545-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS SENIOR LIVING AT CONNERTON COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-545-0682",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Campbell Anderson
• Emily Anderson, M.S., CF-SLP
• Charisse Andrade, PT
• Angel Montfort, Psy.D., LLC
• Angeline Family Care LLC
• Vanessa Antonelli, MS, RDN, LDN
• Muhammad Nadeem Anwar, M.D
• Anytime Sunshine Health LLC
• Anywhere Wound Care LLC
• Elizabeth Aplin, LCSW

• Assisted Living Facility in Land O' Lakes, FL
• Providers in Land O' Lakes, 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 Jul 27, 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.