Chateau Palms Manor,Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7973 Issued in FL

Legal business name

CHATEAU PALMS MANOR,INC

Practice address

1679 Tampa Rd
Palm Harbor, FL 34683-5651

Phone

(727) 786-8574

NPI assigned

Jun 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward Pietruszkiewicz

Title

Administrator

Phone

(727) 786-8574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104028018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835651",
            "telephone_number": "727-786-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATEAU PALMS MANOR,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIETRUSZKIEWICZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-786-8574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Chapman
• Charles a Luxenberg MD PA
• Charles W. Schmidt DDS PA
• Meagan A Charpie, PA-C, ATC
• Chateau Palms Inc.
• Nehabahen Chauhan
• Rohan Chawla, M.D.
• Children and Teen Dental Group of Florida
• Children and Teen Dental Group of Florida
• Children and Teen Dental Group of Florida

• Assisted Living Facility in Palm Harbor, FL
• Providers in Palm Harbor, 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 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.