East Lake Manor, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9773 Issued in FL

Legal business name

EAST LAKE MANOR, INC

Practice address

722 East Lake Road S.
Tarpon Springs, FL 34688

Phone

(727) 934-4791

Fax

(727) 934-1791

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Sylvester Remorca

Title

Administrator / Owner

Phone

(848) 333-2670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1104133115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 EAST LAKE ROAD S.",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34688",
            "telephone_number": "727-934-4791",
            "fax_number": "727-934-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 EAST LAKE ROAD S.",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34688",
            "telephone_number": "727-934-4791",
            "fax_number": "727-934-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LAKE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "REMORCA",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "ADMINISTRATOR / OWNER",
        "authorized_official_telephone_number": "848-333-2670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Tarpon Springs, FL
• Providers in Tarpon Springs, 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 Sep 13, 2010; 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.