NPIMap

Organization Active NPI

Allegiance Properties 1 Inc Dba Westbrooke Manor

  • Assisted Living Facility
  • Zephyrhills, FL
National Provider Identifier
1093973364
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL6061 Issued in FL
Legal business name
ALLEGIANCE PROPERTIES 1 INC DBA WESTBROOKE MANOR
Practice address
6701 Dairy Rd
Zephyrhills, FL 33542-6618
Phone
(813) 782-4417
Fax
(813) 782-8781
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Mr. Douglas Matthew Klinowski
Title
Vice President
Phone
(813) 782-4417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL6061 FL Primary

Addresses

Primary practice location

6701 Dairy Rd
Zephyrhills, FL 33542-6618

Mailing address

6701 Dairy Rd
Zephyrhills, FL 33542-6618
Phone (813) 782-4417

Other identifiers 1

IdentifierTypeStateIssuer
686528300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Allegiance Properties 1 Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1093973364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 DAIRY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426618",
            "telephone_number": "813-782-4417",
            "fax_number": "813-782-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 DAIRY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426618",
            "telephone_number": "813-782-4417",
            "fax_number": "813-782-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE PROPERTIES 1 INC DBA WESTBROOKE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KLINOWSKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-782-4417",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686528300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.